Abstract
Constricted ear has a prevalence of 5.2 to 10% among ear abnormalities, and various
surgical methods are suggested for treatment. We introduce a case of a constricted
ear treated with a simple method using a novel concept cartilage graft and transposition
flap, along with the well-known Mustardé suture, which is used for pediatric patients
with mild to moderate constricted ears of Tanzer classification type IIA. A 10-year-old
female patient visited the hospital complaining of an abnormality in the congenital
right ear. Surgical approach was planned under the diagnosis of Tanzer classification
type IIA constricted right ear. Posterior helix onlay graft and perichondrocutaneous
transposition flap using excessive helical cartilage were performed along with the
Mustardé suture. In the immediate postoperative period, ear contour was improved,
and it was well-maintained without recurrence until 6 months' follow-up. In conclusion,
the combination of Mustardé suture, and cartilage onlay graft and perichondrocutaneous
transposition flap in the mild to moderate constricted ear would be a useful surgical
option, producing aesthetically good results in a simple and effective method.
Keywords
ears prominent and constricted - external ear cartilage - surgical flaps
