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Clinical Note
March 15, 2010

Reconstruction of the Concha to Restore Hearing After Cartilage Harvest for Rhinoplasty

Author Affiliations

Author Affiliation: Division of Plastic and Reconstructive Surgery, Departments of Surgery and Otolaryngology, Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania. Dr Deleyiannis is now with the Division of Plastic Surgery, Departments of Surgery and Otolaryngology, University of Colorado School of Medicine, Aurora.

Arch Otolaryngol Head Neck Surg. 2010;136(3):304-305. doi:10.1001/archoto.2010.23

Conchal cartilage is widely used in aesthetic and reconstructive rhinoplasty. Preoperatively, patients must be counseled concerning possible postoperative donor site complications. These include visible scarring and changes in ear position (the distance that the ear protrudes from the side of the head) and shape (the volume and depth of the conchal bowl). To my knowledge, this report provides the first case of a documented hearing loss secondary to cartilage harvest and the subsequent conchal reconstruction done to restore hearing.

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