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Otoplasty: the problem of the deep conchal bowl

Published online by Cambridge University Press:  29 June 2007

N. J. P. Beasley  and
N. S. Jones
N. J. P. Beasley
Affiliation:
Departments of Otorhinolaryngology, Walton Hospital, Liverpool, Queen's Medical Centre, Nottingham, UK.
N. S. Jones*
Affiliation:
Departments of Otorhinolaryngology, Walton Hospital, Liverpool, Queen's Medical Centre, Nottingham, UK.
*
Address for correspondence: Mr. N. S. Jones, Department of Otorhinolaryngology, Queen's Medical Centre, Nottingham NG7 2UH. Fax: 0115 970 9748
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Abstract

The correction of prominent ears requires a logical approach to address each of the anatomical defects present while bearing in mind the overall shape of the ear. The two most common problems encountered are the lack of an antihelix and a deep conchal bowl.

We describe a method of reducing the depth of the conchal bowl which avoids some of the problems previously encountered such as occlusion of the external auditory meatus and visible irregularity on the external surface of the pinna. Resection of the inferomedial part of the conchal bowl and thinning of the ponticulus allow realignment of the ear and prevent prominence of the antitragus. The ear is then secured with concha-mastoid sutures and the scapha-conchal angle can then be corrected to form an antihelix if necessary.

Keywords

Ear cartilagessurgery
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 9 , September 1996 , pp. 864 - 868
Copyright
Copyright © JLO (1984) Limited 1996

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References

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