The Becker technique for otoplasty: modified and revisited with long-term outcomes.

Abstract

To demonstrate a modification of the Becker technique for otoplasty and to evaluate the long-term results. Case series with follow-up survey assessment. A sample of 16 patients treated by a single surgeon at an academic pediatric referral center who met the inclusion criteria was reviewed for surgical results and patient/parental satisfaction. A total of 30 ears underwent repair. Patients ranged from 4 to 17 years (mean age, 8.2 y) with an average follow-up of 4.6 years. One patient had an immediate postoperative hematoma from blunt trauma that was treated with good long-term results. No cases required revision surgery. Preservation of the antihelix with good to excellent ear symmetry was obtained in all patients at follow-up. All patients were happy or very happy with the surgical procedure. All patients had at least five of the six criteria for surgical success as defined by the survey. This modification of the Becker technique of otoplasty is efficacious for correction of protruding ears with excellent long-term results.