A Different Approach for Protruding Earlobe Correction-Modified Fish-tail Technique

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Protruding Ears and the Importance of Lobule Correction
Protruding ears represent the most common auricular abnormalities observed in the pediatric population. Beyond the physical appearance, this condition often leads to significant social and psychological consequences, serving as a primary trigger for peer bullying at young ages. While modern medicine offers various surgical interventions for prominent ears, specialized options for correcting the lobule remain relatively limited.
Study Objective and the Modified Fish-Tail Technique
This clinical study aims to present the modified fish-tail technique, an innovative approach developed to address lobule prominence. By evaluating its efficacy and safety, we compare this method with existing techniques in the medical literature to provide a comprehensive surgical alternative. The focus remains on achieving aesthetic harmony while minimizing surgical risks.
Methodology and Patient Selection Criteria
The study cohort was selected from patients who underwent otoplasty for prominent ear correction at our clinic between 2020 and 2022. A total of 21 cases requiring specific protruded lobule correction were included in the research. To ensure long-term reliability, patients were followed for a minimum of one year to monitor for both early and late-stage complications.
Clinical Evaluation Parameters
During the follow-up period, the following post-operative complications were strictly evaluated:
- Keloid and hypertrophic scar formation
- Wound dehiscence
- Hematoma and infection
- Recurrence of lobule prominence
Clinical Results and Post-Operative Outcomes
Each participant in the study received bilateral prominent ear correction utilizing the bilateral modified fish-tail technique. The results observed during the minimum 12-month follow-up period demonstrate the high success rate of the procedure.
| Complication Type | Observed Incidence |
|---|---|
| Wound Dehiscence | None |
| Infection | None |
| Hematoma | None |
| Recurrence in Lobule | None |
| Hypertrophic Scar / Keloid | None |
Conclusion: A New Standard in Lobule Surgery
The modified fish-tail technique stands out in the field of otoplasty due to its unique advantages. It provides an adjustable vertical height and ensures effective lobule correction while significantly reducing the necessity for extensive skin excision. Based on our clinical findings, we recommend this method as a highly effective alternative technique for prominent lobule surgery.

