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Correction of prominent ear by the two parallel incision technique with definition and folding of the antihelix by vertical mattress sutures



Multiple techniques have been advocated over the years for correction of the prominent ear. The basic techniques used to correct prominent ears with a missing antihelix depends on incision, scoring, bending and reposition of the auricular cartilages. This study was undertaken to correct prominent ears using cartilage incision and vertical mattress sutures to define antihelix.

Patients and Methods

This study was carried out on 13 patients (25 ears) in the period between February 2014 and June 2017, twelve patients of them were presented with bilateral prominent ears and one patient was presented with unilateral prominent (bat) ear. This series comprised 8 males and 5 females. Their ages ranged between 7 to 33 years. In this technique 2 parallel incision in auricular cartilage, definition of antihelix with vertical mattress sutures and ellipse of skin was removed.


Satisfactory results were obtained in all patients. Complications occurred in 2 patients only: one of them had mild protrusion of upper third of auricle and the other had keloid.


Our technique produces natural-looking of the operated ears with low complication rates.


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Correspondence to Ramez Reda MD.

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Khaled, A., Reda, R., Kamel, A. et al. Correction of prominent ear by the two parallel incision technique with definition and folding of the antihelix by vertical mattress sutures. Egypt J Otolaryngol 34, 217–223 (2018).

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  • antihelix
  • cartilage incision
  • prominent ear
  • vertical mattress suture