Reconstruction of the Conchal Bowl

Publication date: Available online 14 March 2017
Source:Operative Techniques in Otolaryngology-Head and Neck Surgery
Author(s): Jonathan A. Harounian, Christopher Fundakowski
The auricular concha is derived from the cleft ectodermal tissue of the first branchial groove. Deformities of the concha may result from congenital malformations, traumatic injury, or oncological resection. While multiple studies have demonstrated the negative psychosocial impact of auricular deformity, various surgical techniques have been developed in order to reconstruct the ear and obtain satisfactory cosmetic outcomes. Reconstruction of the concha will largely depend on depth and size of the overall defect, with options largely varying between secondary intention, skin grafting, and soft tissue flaps.



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