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Incisionless Fritsch Otoplasty
The Incisionless Fritsch otoplasty is a minimally invasive procedure for pinning protruding ears. History Michael H. Fritsch, MD, Professor, Indianapolis, Indiana, USA, named his method “Incisionless Otoplasty” and published it under this name in 1995, 2004, 2009 and 2013. Surgical procedure The technique is used for protuberant "lop" ears to correct the problem in the least invasive way. From the back of the ear, permanent, non-absorbable sutures (called by Fritsch "retention sutures") are placed invisibly into the cartilage of the external ear pinna with a unique technique, whereby the stitch passes in and out of the same needle hole achieve the desired pathway for the suture to correct the protuberant ear. Kaye and others, made open micro-incisions to get the suture under the skin. When the sutures are tightened, the ear moves towards the head. Patients were operated on using only the percutaneous incisionless technique. Fritsch pointed out that some ears needed not ...
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Protruding Ears
Prominent ear, otapostasis or bat ear is an abnormally protruding human ear. It may be unilateral or bilateral. The concha is large with poorly developed antihelix and scapha. It is the result of malformation of cartilage during primitive ear development in intrauterine life. The deformity can be corrected anytime after six years of age. The surgery is preferably done at the earliest possible age in order to avoid psychological distress. Correction by otoplasty involves changing the shape of the ear cartilage so that the ear is brought closer to the side of the head. The skin is not removed, but the shape of the cartilage is altered. The surgery does not affect hearing. It is done for cosmetic purposes only. The complications of the surgery, though rare, are keloid formation, hematoma formation, infection and asymmetry between the ears. See also * Cauliflower ear * Incisionless Fritsch otoplasty References

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Hematoma
A hematoma, also spelled haematoma, or blood suffusion is a localized bleeding outside of blood vessels, due to either disease or trauma including injury or surgery and may involve blood continuing to seep from broken capillary, capillaries. A hematoma is benign and is initially in liquid form spread among the tissues including in sacs between tissues where it may coagulate and solidify before blood is reabsorbed into blood vessels. An ecchymosis is a hematoma of the skin larger than 10 mm. They may occur among and or within many areas such as skin and other organs, connective tissues, bone, joints and muscle. A collection of blood (or even a hemorrhage) may be aggravated by anticoagulant medication (blood thinner). Blood seepage and collection of blood may occur if heparin is given via an Intramuscular injection, intramuscular route; to avoid this, heparin must be given intravenously or subcutaneous injection, subcutaneously. Signs and symptoms Some hematomas are visible ...
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Epithelial
Epithelium or epithelial tissue is one of the four basic types of animal tissue, along with connective tissue, muscle tissue and nervous tissue. It is a thin, continuous, protective layer of compactly packed cells with a little intercellular matrix. Epithelial tissues line the outer surfaces of organs and blood vessels throughout the body, as well as the inner surfaces of cavities in many internal organs. An example is the epidermis, the outermost layer of the skin. There are three principal shapes of epithelial cell: squamous (scaly), columnar, and cuboidal. These can be arranged in a singular layer of cells as simple epithelium, either squamous, columnar, or cuboidal, or in layers of two or more cells deep as stratified (layered), or ''compound'', either squamous, columnar or cuboidal. In some tissues, a layer of columnar cells may appear to be stratified due to the placement of the nuclei. This sort of tissue is called pseudostratified. All glands are made up of epitheli ...
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Otoplasty
Otoplasty ( el, οὖς, , "ear" + , , "to shape") denotes the surgical and non-surgical procedures for correcting the deformities and defects of the pinna (external ear), and for reconstructing a defective, or deformed, or absent external ear, consequent to congenital conditions (e.g. microtia, anotia, etc.) and trauma (blunt, penetrating, or blast). The otoplastic surgeon corrects the defect or deformity by creating an external ear that is of natural proportions, contour, and appearance, usually achieved by the reshaping, the moving, and the augmenting of the cartilaginous support framework of the pinna. Moreover, the occurrence of congenital ear deformities occasionally overlaps with other medical conditions (e.g. Treacher Collins syndrome and hemifacial microsomia). History Antiquity Otoplasty (surgery of the ear) was developed in ancient India in the 5th century BC, and described in the medical compendium, the (Sushruta's Compendium, ). The book discussed otoplastic and oth ...
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