DOI: https://doi.org/10.36347/sasjs.2026.v12i10.010

Pages: 861-871

Background: Prominent ear is the most common auricular malformation, affecting about 5% of the population. It combines an underdeveloped antihelical fold, conchal hypertrophy and auricular valgus, and carries a well-documented psychosocial burden in children. Suture-based techniques remain exposed to recurrence through suture resorption, failure or extrusion. The technique described by Jost relies on pure cartilage remodelling, with no suture placed on the helix or the antihelix. Objective: To describe our experience with Jost otoplasty, to detail its technical rules and to analyse morphological outcomes, complications and patient satisfaction. Methods: A retrospective, descriptive, single-centre study was conducted in the Department of Plastic, Reconstructive and Aesthetic Surgery of the Oued Eddahab Military Hospital, Agadir, Morocco, between June 2025 and May 2026. Ten consecutive patients operated on for prominent ears using the Jost technique were included. Demographic data, anatomical components of the deformity, mastoid-to-helical rim distance at three levels, operative data, early and late complications and satisfaction on a four-point scale were recorded. Results: Mean age was 20 years (range 8–30), with six males and four females (sex ratio 1.5). Involvement was bilateral in nine patients and unilateral in one. Mean operative time was 68 minutes. No haematoma and no infection occurred; six patients reported simple postoperative pain and four a transient oedema. At a mean follow-up of six months, no recurrence was observed and the mean mastoid-to-helical rim distance decreased from 24 mm to 16 mm. Six patients were “very satisfied” and four “satisfied”. Conclusion: At the cost of a learning curve and a longer operative time, the Jost technique provides accurate and natural moulding of the antihelix. The complete absence of cartilage sutures removes the most frequent causes of recurrence and of material-related complications. Longer follow-up is required to