Clinica Milenio, Portugal
Title: Otoplasty: Rebelo’s technique
Biography: Angelo Rebelo
Otoplasty is a surgical procedure for correcting the deformities and defects of the ear consequent to congenital conditions. Ear surgery creates a natural shape, while bringing balance and proportion to the ears and face. Correction of even minor deformities can have profound beneﬁts to appearance and self-esteem. The main indication for Rebelo’s technique are prominent ears, protruding ears occurring on one or both sides in varying degrees, adult dissatisfaction with previous ear surgery. These appear prominent when the man or the woman is viewed from either the front or the back perspective. Age is not important to decide to do the surgery, but is better earlier ages after 5 years old. The surgery is performed upon a patient under local anesthesia with sedation as an outpatient. The operating time varies between 30 to 60 minutes. The surgeon places a needle with ink through the skin, to model the cartilage and to emplace the retention sutures (Nylon 4/0) that will affix the antihelix and conchal bowl areas. An incision is made behind the ear and becomes inconspicuous and hopefully almost invisible. Blunt undermining is performed to expose the cartilage. A small incision, behind this cartilage, is made as approach to the anterior cartilage in order to make condroplasty with a specific rasp. Before making the final shape of the ear, washing the entire ear, inside and outside with a cold saline solution. Then 3 sutures are placed with Nylon 4/0, permanent suture non-absorbable, through the pre marked points with the needle with ink, giving the shape and the model we found good. Skin closure with Vicryl Rapid 5/0 continuous suture. No dress is made. Antibiotic per os during one week. The patient wears a loose head-band (tennis style) one week day and night and two more weeks at night. The percentage of recidives is very low with this technique.