Treatment of prominent ear anomalies

Two-thirds of the prominent ear cases result from an underdeveloped antihelical fold, while one-third of the cases result from an excess of conchal bowl cartilage. Associated secondary anomalies include excessive helical root protrusion, overprojected lobule, excessive antitragal protrusion, insufficient helical curling, cup ear deformity, and macrotia. The authors discuss the development and anatomy of the ear, the timing of otoplasty, surgical principles, preferred surgical management, and complications. Thoughtful and logical approach to reconstruction with careful surgical planning will provide consistent, optimized outcomes in form and symmetry.