Understanding Conchal Crus Deformity and Treatment Options

The conchal crus is a part of the ear’s cartilage structure, located in the conchal bowl, which is the deep, bowl-shaped part of the external ear. A conchal crus ear deformity occurs when there is an abnormality in this cartilage, which can manifest as:

• An extra ridge or fold in the ear cartilage.
• A misshapen or prominent conchal crus.
• Asymmetry between the ears.

Such deformities may be congenital, existing from birth, or may develop due to trauma, infection, or other factors that influence the ear cartilage.

Non-Surgical Treatments:

In the early stages of life, particularly during the first two months, non-surgical treatments are preferred due to the high levels of maternal estrogen that make the ear’s cartilage malleable. Our practice often employs the EarWell system or custom splints for reshaping congenital ear deformities like the conchal crus. This approach is highly satisfactory and non-invasive.

Surgical Options:

If the opportunity for non-surgical molding is missed, surgical intervention becomes the next viable option. Dr. Fishman recommends delaying ear surgery until a child is at least seven years old, as by this age, the ears are nearly fully developed. Otoplasty, a surgical procedure to correct ear deformities, may involve reshaping or removing excess cartilage to achieve a more natural ear contour, particularly in cases involving conchal crus deformity.

Outcome and Consultation:

Conchal crus deformities can be effectively managed using both non-surgical and surgical techniques. While early non-surgical intervention can correct the deformity in infants without requiring surgery, otoplasty offers a dependable and lasting solution for older children where non-surgical methods are no longer feasible. We invite you to contact our practice today to schedule a consultation and explore the treatment options suitable for your needs.