Question Mark Ear: An Unusual Anomaly and a Novel Surgical Technique for Reconstruction


YALÇIN C. E., Ozpur I., ÇETİNKALE O.

Journal of Craniofacial Surgery, vol.35, no.1, 2024 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 35 Issue: 1
  • Publication Date: 2024
  • Doi Number: 10.1097/scs.0000000000009888
  • Journal Name: Journal of Craniofacial Surgery
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, MEDLINE
  • Keywords: Congenital ear cleft, cosman ear, ear reconstruction, local flap, question mark ear
  • Istanbul University Affiliated: Yes

Abstract

The question mark ear is a rare abnormality characterized by a cleft between the helix and the earlobe, resulting in a protrusion of the upper part of the ear. The severity of this ear malformation can range from a minor notch in the helix to a complete separation of the helix and the earlobe. In this study, we present a case of a patient with a moderately severe right-sided unilateral question mark deformity. To address this issue, we utilized a novel technique that involves a combination of a Y-V flap with double opposing Z-plasty. Our clinical study demonstrates that using this technique for reconstructing the deformity yields excellent results in terms of the helical rim and fold contour, utilizing solely the local tissues.