Innovation in the surgical technique for prominent ears: A method to prevent recurrence

Prominent ears, a common congenital auricular deformity, can have significant psychosocial consequences. While several surgical techniques exist, recurrence remains a major challenge. This study evaluates a technical modification designed to reduce cartilage memory and minimize recurrence. A retrospective analysis was conducted on 70 patients who underwent otoplasty at Clínica Alemana in Santiago, Chile, between 2017 and 2024. The surgical technique combined traditional Mustardé and Furnas methods with targeted cartilage incisions guided by anterior methylene blue tattoos, aimed at weakening cartilage memory. Outcomes were assessed using the Strasser scale and complication rates were analyzed. 70 patients were included in this series. The average patient age was 9 years. Complications occurred in 20 % of cases, primarily suture exposure (14.3 %) and minor infections (2.8 %), all managed without reoperation. No recurrences were observed over a mean follow-up of 12 months. In 21 patients evaluated with the Strasser scale, the average score was 2, indicating good aesthetic outcomes. The described technical modification is a safe, reproducible approach that effectively prevents recurrence of auricular prominence. By addressing cartilage memory, the technique enhances long-term aesthetic results and reduces the need for reoperation.