The Outward Curved Concha, an Unfamiliar Congenital Auricular Deformation: A Novel Protocol for Nonsurgical Management

Asaf Olshinka*, Dean D. Ad-El, Dafna (shilo) Yaacobi

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Anomalies present in about 30% of newborn ears; 15% to 20% of them are permanent. Malformations can be treated solely surgically; however, deformations, when promptly diagnosed, can be treated with nonsurgical methods, such as splinting and molding. The deformity of an outward curved concha is not only an aesthetic issue, but may confer functional problems that impair hearing and hearing aid usage. The goal of this report was to present this unique anomaly and our novel noninvasive treatment protocol for its management. Our cohort comprised 10 newborns treated for outward curved concha during 2018 and 2019. The patients underwent nonsurgical treatment using the EarWell system. In some patients, the management was followed by molding and taping to achieve the best effect. Treatment for all the patients began before age 3 weeks (mean, 2 weeks). Treatment duration was 5.2 weeks, on average. Nine patients did not show any adverse effects. The majority of parents expressed satisfaction with the aesthetic result; 70% were extremely pleased. Early initiation of the treatment-protocol for outward curved concha deformation yielded excellent and timely results in the infants, without the necessity of an invasive procedure.

Original languageEnglish
Pages (from-to)E392-E396
JournalJournal of Craniofacial Surgery
Volume33
Issue number4
DOIs
StatePublished - 1 Jun 2022
Externally publishedYes

Keywords

  • Cartilage malleability
  • concave concha
  • conchal deformation
  • ear molding
  • ear splinting
  • nonsurgical treatment

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