Cartilage reshaping for protruding ears: A prospective long term follow-up of 32 procedures

Franck Marie P Leclère, Mario Trelles, Serge R. Mordon

    Research output: Contribution to journalReview Articlepeer-review

    20 Citations (Scopus)


    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.

    Original languageEnglish
    Pages (from-to)875-880
    Number of pages6
    JournalLasers in Surgery and Medicine
    Issue number9
    Publication statusPublished - Nov 2011
    Publication typeA2 Review article in a scientific journal


    • cartilage
    • LACR
    • laser
    • otoplasty
    • protruding ears

    ASJC Scopus subject areas

    • Surgery
    • Dermatology


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