PMID- 22006728 OWN - NLM STAT- MEDLINE DCOM- 20120325 LR - 20221207 IS - 1096-9101 (Electronic) IS - 0196-8092 (Linking) VI - 43 IP - 9 DP - 2011 Nov TI - Cartilage reshaping for protruding ears: a prospective long term follow-up of 32 procedures. PG - 875-80 LID - 10.1002/lsm.21126 [doi] AB - BACKGROUND: Correction of prominent ears is a common plastic surgical procedure. We introduced a new non-invasive laser-assisted cartilage reshaping (LACR) technique as an alternative to invasive surgical otoplasty. METHODS: Since our first report in 2006, 32 LACR procedures in 17 patients have been performed at the Antoni De Gimbernat Foundation in collaboration with the French National Institute of Health and Medical Research (INSERM) U703. For 15 patients, the procedure was bilateral, for the remaining 2 patients LACR was performed only on one side. The treatment consisted of seven stacked pulses (3 ms, 2 Hz, 84 J/cm(2) cumulative fluence) applied using a 4-mm spot hand piece. Early and late complications were defined and reviewed for the whole series. Satisfaction was assessed by the patients using a visual analogue scale from 0 (unsatisfied) to 10 (highly satisfied). The superior and middle cephaloauricular distances were prospectively evaluated. RESULTS: Except for two cases of dermatitis, there were no early complications and no late complications (like keloids) in the series. The mean superior and middle cephaloauricular distances were, respectively, 12.3 +/- 1.9 and 13.7 +/- 1.6 mm compared to 17.8 +/- 3.1 mm (p < 0.01) and 23.9 +/- 1.9 mm (p < 0.01) before operation. Mean patient satisfaction was 8.6/10 with all patients reporting that they would be willing to undergo the procedure again, if required. CONCLUSION: LACR appears to be a safe and reproducible method for the treatment of protruding ears. Other applications of this technique, like laser assisted septal cartilage reshaping (LASCR) for septum deviation, have been recently described. CI - Copyright (c) 2011 Wiley Periodicals, Inc. FAU - Leclere, Franck Marie P AU - Leclere FM AD - French National Institute of Health and Medical Research, Lille University Hospital, Universite Lille Nord de France. FAU - Trelles, Mario AU - Trelles M FAU - Mordon, Serge R AU - Mordon SR LA - eng PT - Journal Article PL - United States TA - Lasers Surg Med JT - Lasers in surgery and medicine JID - 8007168 SB - IM MH - Adolescent MH - Adult MH - Aged MH - Ear Cartilage/*abnormalities/*surgery MH - Follow-Up Studies MH - Humans MH - *Laser Therapy MH - Middle Aged MH - Prospective Studies MH - Plastic Surgery Procedures/*methods MH - Time Factors MH - Young Adult EDAT- 2011/10/19 06:00 MHDA- 2012/03/27 06:00 CRDT- 2011/10/19 06:00 PHST- 2011/10/19 06:00 [entrez] PHST- 2011/10/19 06:00 [pubmed] PHST- 2012/03/27 06:00 [medline] AID - 10.1002/lsm.21126 [doi] PST - ppublish SO - Lasers Surg Med. 2011 Nov;43(9):875-80. doi: 10.1002/lsm.21126.