A new and practical instrument for antihelix scoring: Gillies skin hook

The patient was presented with prominent ear on the right side unilaterally. Operation was planned beyond written informed consent were taken from patient. He was 23 years old. On the physical examination, we observed underdeveloped antihelical fold and prominent concha. The helix to mastoid distance was measured 25 mm in the upper third, 30 mm in the middle third at its widest point and 22 mm in the lower third. The concha was deep and conchamastoid angle was increased and measuring 80°. The concha scaphal angle was 125°. We used Furnas conchal-mastoid sutures and Mustardé scapha-conchal sutures in the operation. The cartilage was firm and to break strength for reshaping and forming the anti-helical fold, we scored antihelix with Gillies skin hook (Figure 1).