Case Report
Open Access Peer-reviewed

Prosthodontic Implications of Macrotia and Relative Oto-aesthetics

Khurshid A Mattoo
Department of Prosthetic dental sciences, College of Dentistry, Jazan University, Jazan 45142, KSA
American Journal of Medical Case Reports. 2023, 11(9), 152-155. DOI: 10.12691/ajmcr-11-9-1
Received August 12, 2023; Revised September 13, 2023; Accepted September 19, 2023

Abstract

The term “Oto-aesthetics” is term that highlights the role of the external ear in the overall facial aesthetics of the human face. Feasibly, its aesthetic significance is valued by those who suffer from conditions like Macrotia and Prominauris. A seventy-two-year-old patient reported for complete denture rehabilitation. The most prominent feature of his face was Macrotia (average length – 83.2 mm and average width – 44.2 mm) and prominauris. Since the size of the ear was rare and unique, a review of literature was conducted, and evidence-based facts of Oto-aesthetics were compiled. Measurements of both ears were recorded clinically as well as on a model of both ears that was prepared after making impressions of both ears. The aesthetic value of the human ear has been discussed in terms of its size, position, projection from the cranium, color, orientation, and relations between surface anatomy landmarks. A complete denture prosthesis was prepared using conventional dental procedures.

Keywords:

ear auricles, ear pinna, dental esthetic, dental prostheses, esthetic surgical procedures
[1]  Brucker MJ, Patel J and Sullivan PK. A morphometric study of the external ear: Age and sex related differences. Plast Reconstr Surg 2003; 112: 647-652.View Article  PubMed
 
[2]  Powles‐Glover N, Maconochie M. Prenatal and postnatal development of the mammalian ear. Birth Defects Res. 2018;110(3):228-45.View Article  PubMed
 
[3]  Ito I, Imada M, Ikeda M, Sueno K, Arikuni T, Kida A: A morphological study of age changes in adult human auricular cartilage with special emphasis on elastic fibers. Laryngoscope 2001; 111:881–886.View Article  PubMed
 
[4]  Heathcote JA. Why do men have big ears? BMJ 1995;311(7021):1668View Article  PubMed
 
[5]  Ferrario VF, Sforza C, et al. Morphometry of the normal human ear: a cross-sectional study from adolescence to mid- adulthood. J Cran Genet Dev Biol 1999;19(4):226-33
 
[6]  Condra J, Editor. Encyclopedia of national dress: Traditional clothing around the world [2 Volumes]. Abc-Clio; 2013 Apr 9.
 
[7]  Beahm EK, Walton RL. Auricular reconstruction for microtia: Part 1. Anatomy, embryology, and clinical evaluation. Plast Reconstr Surg 2002; 109:2473–82.View Article  PubMed
 
[8]  Iannarelli A. Ear identification. Forensic identification series. Paramount Publishing Company, Freemont, California (1989). pp 66-71
 
[9]  Kumar L, Mattoo KA, Yadav A. Achieving esthetics by adding gingival porcelain to an existing prosthesis –An Innovative Way. Journal of Pearldent 2010;1(3).
 
[10]  Kelley P, Hollier L, Stal S. Otoplasty: Evaluation, technique, and review. J Craniofac Surg, 2003;14 (5): 643- 53View Article  PubMed
 
[11]  Cooper-Hobson G, Jaffe W. The benefits of otoplasty for children: further evidence to satisfy the modern NHS. J Plast Reconstr Aesthet Surg 2009; 62: 190-194View Article  PubMed
 
[12]  Kühn S, Wöhler N, Wehle A, Küenzlen L, Rothenberger J, Sader R, Lemperle G, Rieger UM. Otoplasty through ventral skin incision and shaping of the antihelix by abrasion—a retrospective study. Journal of Clinical Medicine. 2021;10(16):3713.View Article  PubMed
 
[13]  Pantic M, Rothkrantz LJ. Automatic analysis of facial expressions: The state of the art. IEEE Transactions on pattern analysis and machine intelligence. 2000;22(12):1424-45.View Article
 
[14]  Mattoo K, Kapoor A. Improving esthetics to improve behavior through enhancing phonetics. WebmedCentral Behaviour 2014;5(10): WMC004724
 
[15]  Weerda H. Surgery of the Auricle: Tumors, Trauma, Defects, and Abnormalities. Thieme, New York (2007): pp 244-45View Article
 
[16]  Ekanem AU, Garba SH, Musa TS and Dare ND. Anthropometric study of the Pinna (Auricle) among adult Nigerians resident in Maiduguri Metropolis. J Med Sci, 2010; 10: 176-180.View Article
 
[17]  Toma A. Characterization of normal facial features and their association with genes (Doctoral dissertation, Cardiff University). 2014
 
[18]  Tendencies H. Hereditary, Developmental and Environmental Influences in the Formation of Dentofacial Deformities. Orthognathic Surgery-2 Volume Set: Orthognathic Surgery E-Book. 2022:88.
 
[19]  Mowlavi A, Meldrum DG, Wilhelmi BJ et al. The aesthetic earlobe: classification of lobule ptosis on the basis of a survey of North American Caucasians. Plast Reconstr Surg 2003; 112:266–272.View Article  PubMed
 
[20]  Mobley SR, John Vartanian A and Toriumi DM. Otoplasty: surgical correction of the protruding ear. Oper Tech Otolayngol Head Neck Surg 2002; 13: 29-35View Article
 
[21]  Niamtu J. Cosmetic otoplasty and related ear conditions. In Niamtu J. (eds): Cosmetic facial surgery. Saint Louis (MI): Elsevier Mosby, 2011. pp. 434-516View Article
 
[22]  Stal S, Klebuc M and Spira M. An algorithm for otoplasty. Oper Tech Otolayngol Head Neck Surg 1997; 4: 88-103View Article
 
[23]  Shokrollahi K, Manning S, Sadri A et al. The prominent antihelix and helix—the myth of the overcorrected’ ear in otoplasty. Ann Plast Surg. 2015; 74(4): S259–S263.View Article  PubMed