Treatment of prominent and constricted ear anomalies.
Abstract
Although the physiologic effects of ear deformity are negligible, the aesthetic and psychological impact on the patient can be profound. Significant ear malformations are prevalent in today's society and affect more than 5 percent of the population. Although the prominent ear results from either underdevelopment of the antihelix or an enlarged conchal bowl, the constricted ear is a product of helical down-folding and height deficiency. After a thorough evaluation, surgical management of the prominent ear must be approached in a careful, rational fashion. Although the surgeon may enjoy the wide latitude that hundreds of corrective techniques offer, he or she must always proceed with an algorithmic application of technique best suited to the specific auricular deformity. By using this approach, correction of the prominent ear can go beyond patient satisfaction to predictably maximize outcome in both form and symmetry. From the clinical evaluation and anatomical basis to surgical management of the deformed ear, the true art of otoplasty is in the surgeon's ability to thoroughly understand auricular structure and appropriately apply technique for maximal aesthetic outcome.
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Ear prominence usually results from an underdeveloped antihelical fold and/or increased conchal bowl depth.
“Ear prominence, the most common deformity, usually results from an underdeveloped antihelical fold and/or increased conchal bowl depth.5,6”
From Otoplasty Surgical Techniques and Clinical Outcomes: A Practical Review (2026) · cites this paper as [6]
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- Authors
- Janz, B. A., Cole, P., Hollier, L. H., & Stal, S.
- Affiliations
- Baylor College of Medicine (US)
- ORCID
- Hollier, Larry H.
- Venue
- Plastic and Reconstructive Surgery
- Published
- 2009-07
- Volume
- 124
- Issue
- Supplement
- Pages
- 27e-37e
- ISSN
- 0032-1052 (ISSN-L)
- OpenAlex
- W2068791289
- Cited by
- 86
- References
- 17
- Citations by year
- 2026: 8 · 2025: 2 · 2024: 8 · 2023: 8 · 2022: 7 · 2021: 2 · 2020: 7 · 2019: 5 · 2018: 3 · 2017: 3 · 2016: 4 · 2015: 2 · 2014: 4 · 2013: 10 · 2012: 8
- FWCI
- 4.38
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Plastic & Reconstructive Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
- Health Sciences › Medicine › Genetics › Congenital Ear and Nasal Anomalies
- Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
- Keywords
- prominent ears, otoplasty, ear deformity, antihelix, ear symmetry, surgical technique selection
- MeSH terms
- Congenital Abnormalities, Child, Ear Cartilage, Ear, External, Humans, Skin Transplantation, Plastic Surgery Procedures, Ear Auricle
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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