Conchal setback without resection in prominent ear deformity

The main pathological features of prominent ear are the absence of an adequate antihelical fold, conchal hypertrophy with an increased conchamastoid angle, or a combination of these in varying degrees. For the surgical correction of the prominent ear deformity, it is better to define the components of the problem for each case and plan the surgical correction rather than perform a standard approach for each case. Conchal hypertrophy is an important component of the deformity and is usually harder to overcome and also more prone to relapse. To overcome the conchal hypertrophy and increased conchamastoid angle, conchal cartilage excision, conchamastoid sutures, or posterior auricular muscle manipulations have been used.1-4 In this article, we describe a new surgical approach for the correction of conchal hypertrophy without conchal cartilage resection and conchamastoid sutures.