Category Archives: Ear Presentation

Most Common Anomalies

  • Protruding ear
  • Concha too deep
  • Flattened helix
  • Low lying crus helicis
  • Overhanging helix
  • Scapha too narrow
  • Loss of fossa triangularis
  • Ears low set
  • Skin pocket too small
  • Lack of cartilage

Gradation of Deformities

These patients illustrate the most common deformity from a protruding ear, to and ear that “falls over” upon itself because of poor structural support, to Microtia where parts of the ear are absent.

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Common Abnormalities (Dysmorphic)

This patient with a “protruding” auricle has two major defects. There is inadequate “folding” of the antehelix fold, and the inner layer (concha) is excessively deep.

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Common Abnormalities (Dysplastic ears)

Dysplastic ears do NOT have all of the “parts” present. Reconstruction requires making a new framework.

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Dysmorphic Ears

When one uses their fingers to push the auricle backwards, many anomalies quickly come into view.

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Ear Molding

These ears have all parts present, but only deformed. We can correct these problems with simple non surgical MOLDING procedures. However, reconstruction must be initialed within the first three days of birth while the ear cartilage is still soft and pliable.

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Conchal Excision and Suture Setback

These deformities can be corrected WITHOUT incisions at age four.

This patient excessively “protruding” ears were corrected using an “incisionless otoplasty” technique.  No cuts (incisions) were made.  Bandages were removed after ONE day.

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Conchal excision suture setback

This patient was helped with INCISIONLESS Otoplasty

This patient excessively “protruding” ears were corrected using an “incisionless otoplasty” technique.  No cuts (incisions) were made.  Bandages were removed after ONE day.

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Dysplastic Ears

These problems require “open” surgery techniques to add support and add elements that are missing.

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