Correction of anteverted conchal bowl deformity

Use of a conchal bowl flap for repair of the earlobe.

A 69-year-old man presented with loose, pendulous skin affecting his earlobe that had been treated 2 years earlier with a wedge excision for squamous cell carcinoma in situ. Histological examination of this tissue revealed no residual carcinoma but demonstrated fragmented elastic fibers indicating postoperative acquired cutis laxa. The affected tissue was excised with an incision extending down...

Partial auriculotomy for exposure of tumors of the external auditory meatus and conchal bowl.

Gaining adequate visual exposure and mechanical access to tumors arising in the conchal bowl area can be difficult. Having a surgical assistant flatten the natural concavity of the bowl with pressure from behind may be of some help. Furthermore, the use of an angled beaver blade may improve the maneuverability of the scalpel in this tight space. However, even with these adjunctive measures, sur...

Simple Correction of Alar Retraction by Conchal Cartilage Extension Grafts

BACKGROUND Alar retraction is a challenging condition in rhinoplasty marked by exaggerated nostril exposure and awkwardness. Although various methods for correcting alar retraction have been introduced, none is without drawbacks. Herein, we report a simple procedure that is both effective and safe for correcting alar retraction using only conchal cartilage grafting. METHODS Between August 200...

Revisiting the Curtis Procedure for Boutonniere Deformity Correction

Contracted Nose Correction with Dermofat and Conchal Cartilage