A Novel Tool for Auricle Retraction During Closure of Post-Auricular Incisions

Abstract

Many otologic surgeries, including cochlear implantation and mastoidectomy, require a post-auricular incision for exposure. The auricle must be retracted forward in order to enable an unobstructed view of the surgical field and improve procedural outcomes. Typical methods of securing the ear include tape, a small stitch, or an assistant’s finger, depending on surgeon preference. In this paper, we propose a novel design for a tool that retracts the auricle safely, effectively, and consistently with the appropriate tension for closure of a post-auricular incision. The tool attaches to the helix with a compression fit, and then anchors between the triangular fossa and the helical crus. The tool’s efficacy is demonstrated through a test fit and comparison to standard methods. This anchoring tool enables the surgeon to retract the pinna easily and effectively.