Auricular transverse muscle shortening as an adjunct to perichondrium-sparing Mustarde otoplasty

Recently, our article entitled “Antitragicus muscle resection: a key to correction of prominent lobules” was published in this journal.1 In addition to malposition or overdevelopment of the antitragicus muscle causing protrusion of the earlobe, abnormal development of other auricular muscles is also thought to contribute to prominent ears. Yotsuyanagi et al.2 reported that an elongated auricular transverse muscle was associated with poor development of the antihelical fold. Therefore, we attempted to refine the Mustarde otoplasty by performing auricular transverse muscle shortening as an adjunct procedure.

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