Auricular malformations begin within the first few weeks of intrauterine growth. Less severe deformational abnormalities occur from abnormal fetal positioning. They can be corrected early after birth by simple reshaping and molding. No longer should the pediatrician wait for minor deformities to resolve spontaneously. The protruding ear may not be present at birth but may develop and worsen during the first year. The most severe anomalies require complex multistage reconstructions after other concomitant anomalies are excluded. The pediatrician must be an integral part of this reconstructive team.
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References
1.
1. Brown FE, Colen LB, Addante RR, Graham JM Jr. Correction of congenital auricular deformities by splinting in the neonatal period. Pediatrics. 1986;78:406-411.
2.
2. Ruder RO. Microtia reconstruction. In: Papel I, Nachals N, ed. Facial Plastic Surgery. St Louis: CV Mosby Co; 1992.
3.
3. Anson B, Blast T. Developmental anatomy of the ear. In: Shambaugh G Jr, Glasscock M, eds. Surgery of the Ear, ed. 3. Philadelphia: WB Saunders; 1980.
4.
4. MacGregor FC. Ear deformities: social and psychological implications. Clin Plast Surg. 1978;5:347-350.
5.
5. Farkas LG. Anthropomometry of normal and anomalous ears. Clin Plast Surg. 1978;5:401-401.
6.
6. Millay DJ, Larrabee WF, Dion FR. Nonsurgical correction of auricular deformities. Laryngoscope. 1990; 100:910-913.
7.
7. Kurozumi N, Ono S, Ishida H. Nonsurgical correction of a congenital lop ear deformity by splinting with reston foam. Br J Plast Surg. 1982;35:181-182.
8.
8. Tolleth H. Hierarchy of values in the design and construction of the ear. Clin Plast Surg. 1990;17:193-197.
9.
9. Berghaus A, Toplak F. Surgical concepts for reconstruction of the auricle: history and current state of the art. Arch Otolaryngol/Head and Neck Surg.1986;112:338-341.
10.
10. Lauritzen C, Munro IR, Ross RB. Classification and treatment of hemifacial microsomia. Scand J Plast Surg. 1985;19:33-33.
11.
11. Ruder RO. Reconstruction of the congenitally deformed ear. In: Canalis R, ed. Surgery of the Ear (in press).
12.
12. Graham JM Jr. In: Smith's Recognizable Patterns of Human Defornation. Philadelphia: WB Saunders Co; 1988.
13.
13. Smith DW, Takashima H. Protruding auricle: a neuromuscular sign. Lancet. 1978;1:747-749.
14.
14. Zerin M, Van Allen MI, Smith DW. Intrinsic auricular muscles and auricular form. Pediatrics. 1982;69:91-93.
15.
15. Zoltogora J, Cohen T. Krabbe disease and protruding ears. Am J Aed Genet. 1987;28:759-760.
16.
16. Ruder RO, Maceri D, Crockett D. Congenital aural atresia and microtia. In: Meyerhoff W, Rice D, eds. Otolaryngology/Head and Neck Surgery. Philadelpia: WB Saunders Co; 1992.
17.
17. Jaffee BF. Pinna anomalies associated with congenital hearing loss. Pediatrics. 1976;57:333-341.
18.
18. Melnick M. The etiology of external ear malformations and its relation to abnormalities of the middle ear, inner ear, and other organ systems. Birth Defects: Original Article Series, 1980;XVI (4):303-331.
19.
19. Ruder RO, Maceri D, Crockett D. Management of congenital aural atresia and microtia. In: Johnson J, Mandell Brown M, Newman R, eds. Instructional Courses, vol. 4., St. Louis: CV Mosby Co; 1991.
