Z-plasty for Tanzer type IIb constricted ears.

This article describes the Z-plasty technique for Tanzer type IIb constricted ears. The technique was used in 6 patients to lengthen the upper pole of the ear with simultaneous unfurling of the cupping deformity. All patients also underwent creation of an antihelix with Mustarde sutures as well as a "mastoid hitch" (sutures between the upper pole of the ear and the mastoid fascia) to prevent recurrence. After a mean follow-up of 1.5 years, all patients were satisfied with no recurrence of the deformity. The advantages and disadvantages of the Z-plasty are discussed and compared with other techniques.