The Becker technique for otoplasty: modified and revisited with long-term outcomes.

OBJECTIVES: To demonstrate a modification of the Becker technique for otoplasty and to evaluate the long-term results.

STUDY DESIGN: Case series with follow-up survey assessment.

METHODS: A sample of 16 patients treated by a single surgeon at an academic pediatric referral center who met the inclusion criteria was reviewed for surgical results and patient/parental satisfaction.

RESULTS: A total of 30 ears underwent repair. Patients ranged from 4 to 17 years (mean age, 8.2 y) with an average follow-up of 4.6 years. One patient had an immediate postoperative hematoma from blunt trauma that was treated with good long-term results. No cases required revision surgery. Preservation of the antihelix with good to excellent ear symmetry was obtained in all patients at follow-up. All patients were happy or very happy with the surgical procedure. All patients had at least five of the six criteria for surgical success as defined by the survey.

CONCLUSIONS: This modification of the Becker technique of otoplasty is efficacious for correction of protruding ears with excellent long-term results.