For Otoplasty Reversal Can I Use Metal Inserts Instead Of A Rib Graft?
Q: Dr. Eppley, I read an article you posted about ear surgery using metal inserts instead of rib grafts. Do you do this surgery? Please let me know. I am very interested in this surgery to bring my ears out about 5mm but I would rather not do a rib graft. Thank you!
A: Thank you for your inquiry. You are referring to a subtotal otoplasty reversal for over corrected ears. The key to the procedure is that the released cartilage must be held out by an interpositional piece. Initially I used a small bent metal plate. (which is the article to which you refer) That works fine but I have evolved to using tissue bank rib cartilage which I think works even better. No one wants to have their one rib harvested for the procedure.
Dr. Barry Eppley