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Anteverted Concha: Case Series, Proposed Classification, Novel Management Technique, and Literature Review
Chandrashekhar Subhash Chalwade1, Vidhi M Mehta1, Senthil Kumar R M1
1Department of Plastic Surgery, Seth G.S Medical College and K.E.M Hospital, Mumbai, Maharashtra, India.
Summary
An anteverted concha, an uncommon ear deformity, may be underdiagnosed. Early diagnosis allows for straightforward correction, often avoiding surgery, while surgical intervention yields excellent results in adults.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Pediatric Deformities
Background:
- An anteverted concha is an uncommon ear anomaly causing anterior ear deformity.
- Limited case reports suggest potential under-recognition of this condition.
- A classification system is proposed due to its rarity.
Purpose of the Study:
- To propose a classification system for anteverted concha.
- To evaluate treatment outcomes for anteverted concha.
- To highlight the importance of early diagnosis and intervention.
Main Methods:
- Retrospective review of 22 ears from 16 patients over 2 years.
- Evaluation of outcomes for molding therapy and surgical correction.
- In-depth literature review of reported cases.
Main Results:
- Molding therapy in neonates and surgical correction in adults yielded excellent outcomes.
- One patient had surgical correction; two had molding therapy with positive results.
- Early diagnosis and intervention can potentially avoid surgery.
Conclusions:
- Anteverted concha might be underdiagnosed, necessitating a classification system.
- Early diagnosis allows for non-surgical correction.
- Surgical correction is effective for symptomatic adult cases.
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