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Ear Reconstruction: Congenital, Microtia, Otoplasty

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Congenital ear issues are relatively common. Ear tags, pre-auricular sinus tracts, irregular helical contours, absence of the anti-helical fold, and bifid ear lobes are often seen by surgeons with a pediatric practice. Less common deformities are Stahl’s deformity of the superior crus, asymmetric ear size, cryptotia, microtia, and vascular and pigmented birthmarks of the ear.

The paucity of a newborn’s scalp hair and their lack of early interaction make ear deformities particularly noticeable to their parents in the first few months of life. With a greater awareness of the potential benefit of early ear molding, pediatricians are now referring younger babies with ear deformities to plastic surgeons and otolaryngologists. Some ear configurations such as prominent ears secondary to conchal bowl hypertrophy and or incomplete anti-helical folding often run in families.

This chapter will offer tips on making treatment of the most commonly seen ear deformities easier for both the patient, their family and the treating surgeon.


  • Otoplasty
  • Microtia
  • Ear molding
  • Ear tags
  • Cryptotia
  • Ear reduction
  • Cheek hypoplasia
  • Temporal parietal fascia
  • Ear implant

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  • DOI: 10.1007/978-3-030-78028-9_17
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Reinisch, J.F. (2022). Ear Reconstruction: Congenital, Microtia, Otoplasty. In: Thaller, S.R., Panthaki, Z.J. (eds) Tips and Tricks in Plastic Surgery. Springer, Cham.

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