There are many operations offered for plastic repair of the protruding ear, also called lop ear, bat ear and outstanding ear (Ruttin, Alexander, Leidler, Joseph and others). Only recently MacCollum1 described three methods of operative choice in these cases. He also gave a detailed account of the developmental anatomy.
However, much less is written about another anomaly, the so-called drooping ear. In this malformation the superior bow of the helix and the crus helicis are rolled downward away from the head, covering more or less the scaphoid fossa. As in the protruding ear, with which it is often combined, the antihelix is very small or not present.
Every operation should be so devised as to place the malformed part in its proper position, with utilization of such reconstructive measures as are necessary to do this. In the drooping ear it is necessary to lift the ear to its normal
Rigg JP, Waldapfel R. PLASTIC REPAIR WITH CARTILAGOPERIOSTEAL BRIDGE IN DROOPING (OR DOG) EAR. JAMA. 1939;113(2):125–126. doi:10.1001/jama.1939.72800270001007
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