T he pathologic genesis of the protruding ear is a combination of the antihelix's failure to fold and some form of conchal protrusion, in which either the whole ear is tilted laterally or conchal hypertrophy exists. The corrective procedure should address both of these factors. I use a combination of techniques, including lateral cartilage surface abrasion, as originally described by Sten Stens...

Prominent ear is a relatively common deformity of the external ear, with an incidence of approximately 5% in Caucasians [1]. The main anatomical features of prominent ear are protrusion of the upper half of the helix with a wide conchoscaphal angle that results from failure of the antihelix to fold properly, in conjunction with a wide conchomastoid angle, deep conchal bowl, or absence of the he...

OBJECTIVE To evaluate the effect on snoring of structural nasal valve dilatation with butterfly spreader grafts in patients with nasal valve insufficiency. DESIGN Retrospective medical chart review and telephone follow-up; mean +/- SD follow-up time, 20.7 +/- 11.34 months (range, 3-48 months). SETTINGS Tertiary care referral center. SUBJECTS A total of 37 snoring patients with nasal valve...

BACKGROUND Correction of prominent ears is one of the most common operations performed in congenital deformity. Many appropriate corrective techniques have been described. While rare, severe complications destroying ear contours can occur and their correction should follow the established principles of ear reconstruction. METHODS A retrospective review of the notes of all patients who present...

BACKGROUND To construct a sophisticated three-dimensional framework, numerous modifications have been reported in the literature. However, most surgeons have paid little attention to the anatomical configuration of the concha and more to its deepness and hollowness, leading to unsatisfactory outcomes. METHODS For a configuration of the concha that is definitely anatomical, the author further ...

Presentation of 62 cases of secondary nasal deformities treated by external incision. Several types of endonasal deformities were observed, properly classified and repaired. When excessive resection was observed, local cartilage graft, septonasal or conchal types were employed.

Prefabricated composite free flaps for complex airway reconstruction have been described for an adult series at our institution. We extended this approach to a pediatric patient with lifelong subglottic stenosis who had failed previous open airway reconstructions. A staged procedure was utilized in which a composite graft was created using conchal cartilages and a radial forearm free flap. This...

INTRODUCTION The three-dimensional contour of the face is defined by the osseocartilaginous framework as well as the soft tissue that surrounds these structures. In reconstructive surgery, it is important to analyze the defect and determine which layers are deficient and need replacement. Cartilage is employed extensively in aesthetic and reconstructive surgery for its capacity to be shaped as ...

BACKGROUND Reconstruction of partial ear defects represents a difficult challenge to the plastic surgeon due to the delicate and intricate architecture of the chondrocutaneous sandwich of the external ear. METHODS Fourteen patients with acute or previous traumatic subtotal loss of the upper one-third of the auricle were treated with autologous contralateral conchal cartilage graft and superfi...