Creating a neoconchal complex using the adjustable conchal sliding technique in prominent ear correction

Area of Science:

• Plastic Surgery
• Otolaryngology
• Aesthetic Surgery

Background:

• Prominent ear deformities are often linked to an oversized aural concha.
• Preoperative assessment must consider conchal size for effective correction.
• Existing surgical methods can be overly disruptive.

Purpose of the Study:

• To introduce and evaluate the conchal sliding technique for correcting oversized aural concha.
• To assess the safety, efficacy, and aesthetic outcomes of this novel procedure.

Main Methods:

• A conchal sliding procedure was performed on 47 ears across 24 patients between 2006 and 2010.
• The technique involves posterior elliptical incision, subperichondrial dissection, and scrolling of conchal cartilage segments.
• Repositioning is secured with polypropylene sutures, with optional antihelix formation.

Main Results:

• The median follow-up was 24.3 months.
• Significant reduction in cephaloauricular angle (46° to 26°) and helix-mastoid distance (23 mm to 11 mm) was observed.
• One case of hematoma and one of anterior step deformity occurred; no other complications were noted.

Conclusions:

• The conchal sliding technique is a safe and reliable alternative for correcting oversized aural concha.
• It yields stable, natural-looking results with high patient satisfaction.
• The procedure creates a safe neoconchal complex, improving cosmetic outcomes.