In the case of ears without a gully, helix ( rim ), or antihelix ( common prominent-ear characteristics ), the splint is emplaced slightly away from the ear-edge, which then is rolled onto the splint in order to be shaped into a proper helix ( ear rim ), and also to facilitate the re-formation of the antihelix.
12.
Moreover, regarding the shape and projection of the ear, the importance of the concha must be considered in relation to the three-tiered configuration of the auricular cartilage framework, because the more delicate antihelix and helical complex are mounted upon the sturdier concha; therefore, changes in conchal size and shape greatly influence the overlying tiers, hence it is rare to see prominence of the ear that does not have a conchal element.
13.
According to Weerda, the possibilities are : deformation of the ear leading to deformation at all levels through the destruction of cartilage ( so-called catastrophe ear after Staindl ) [ 4 ]; ear lying too close to the head; telephone ear and the reverse of the telephone ear; visible, cosmetically disfiguring cartilage edges and skin retractions along the front surface of the antihelix and in the cavum conchae; infection with abscess or inflammation of the cartilage ( perichondritis ); fistula of the suture; suture rejection; granuloma; atheroma; bleeding; haematoma; relapse ( ears protrude again ); hypertrophic scarring or keloids along the skin incision; hypersensitivity and pain with pressure and cold; tissue destruction ( necrosis ) through pressure from too closely fitting, hard bandages; constriction of the ear canal entrance; stronger asymmetry of the ear distances.
14.
The study, " Ear Molding in Newborn Infants with Auricular Deformities " ( 2010 ), reported the efficacy of the EarWell device in correcting deformities of the antihelix, the triangular fossa, the helical rim, and an over-prominent conchal-mastoid angle, in 831 ear deformities, in 488 newborn infants who featured : ( i ) prominent ear, ( cup ear ) : 373 ears ( 45 % ); ( ii ) lop ear : 224 ears ( 27 % ); mixed-type ear deformities : 83 ears ( 10 % ) all with associated conchal crus; Stahl s ear : 66 ears ( 8.0 % ); helical rim deformity : 58 ears ( 7.0 % ); conchal crus : 25 ears ( 3.0 % ); and cryptotia : 2 ears ( 0.2 % ).
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