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Otoplasty (surgery of the ear) was developed in ancient India and is described in the medical compendium, the Sushruta Samhita (Sushruta's Compendium, c. 500 AD).The book discussed otoplastic and other plastic surgery techniques and procedures for correcting, repairing and reconstructing ears, noses, lips, and genitalia that were amputated as criminal, religious, and military punishments.
The deformity can be corrected anytime after five years of age. The surgery is preferably done at the earliest possible age in order to avoid psychological distress. Correction by otoplasty involves changing the shape of the ear cartilage so that the ear is brought closer to the side of the head. [2]
The cartilage is completely cut through in several places. With thick cartilage, the back of the antihelix is made thinner by using a scalpel to remove cartilage. If the cavum conchae (hollow before the ear canal entrance) is large, it is made smaller by additionally removing a crescent-shaped piece of cartilage from the concha.
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Tympanoplasty is classified into five different types, originally described by Horst Ludwig Wullstein (1906–1987) in 1956. [1] [2]Type 1 involves repair of the tympanic membrane alone, when the middle ear is normal.
Before-and-after photographs taken along the path of the total solar eclipse in North America reveal the stunning, awe-inducing nature of the celestial phenomenon.
The technique is used for protuberant "lop" ears to correct the problem in the least invasive way. From the back of the ear, permanent, non-absorbable sutures (called by Fritsch "retention sutures") are placed invisibly into the cartilage of the external ear pinna with a unique technique, whereby the stitch passes in and out of the same needle hole achieve the desired pathway for the suture to ...