Abstract
Background An anteverted concha is an uncommon ear anomaly that causes anterior ear deformity
and falls under auricular deformation. Treatments vary from conservative to surgical.
Limited global case reports may be due to under-recognition, prompting a proposed
classification. Patients with an anteverted concha were evaluated in our department
and a classification system was formulated.
Materials and Methods This study was conducted in a plastic surgery department at a tertiary care teaching
hospital over a period of 2 years, from January 2021 to December 2022. This study
included 22 ears of 16 patients. One patient underwent surgical correction, and two
patients underwent molding therapy with excellent outcomes. In addition to reporting
these patients' outcomes, we reviewed their cases to propose a classification system.
Additionally, an in-depth review of the literature on the reported cases was performed.
Results Molding therapy during the early neonatal period and surgical correction later in
life yielded excellent outcomes.
Conclusion An anteverted concha may be underdiagnosed. Correction is typically straightforward
and may not necessitate surgery if it is diagnosed early. Surgical correction leads
to excellent outcomes in symptomatic anteverted conchae in adulthood.
Keywords
ear auricle - congenital ear anomaly - anteverted concha - reverse concha - classification.
