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Treacher Collins syndrome and hemifacial microsomia. Once the cartilage is loosened concha bowl moved closer to head after removing excess skin and from ear rim sutured reshape antihelical fold balance lobe lobule with proportions of pinna. Group II Techniques that resect cut and remove the pertinent excess cartilage from of pinna which then render it pliable to being remolded reconfigured affixed head projection distanceand angle characteristic normal ear relevant procedures are Converse Chongchet Stenstr for prominent ears. The correction of prominent ears using simple mattress sutures. See enlarged image Structure | Bing: ponticulus middle ear language:en

The front and lower parts of osseous portion are formed by curved plate bone tympanic temporal which in fetus exists as separate ring annulus tympanicus incomplete its upper page . Rinzler CA . The mattress sutures are inserted ear through to small stab incisions back of . p. In the cartilage of auricula are two fissures one behind crus helicis and another tragus. The external acoustic meatus is formed partly by cartilage and membrane bone lined skin

Once emplaced and anchored with sutures the surgeon then creates pinna outer ear of natural proportions contour appearance. Moreover two centuries later contemporary otoplastic praxis slightly modified derives from the techniques and procedures developed established in antiquity by Indian ayurvedic physician Sushruta. A natural technique for correction of congenitally prominent ears. Treacher Collins syndrome and hemifacial microsomia. III. The skin of auricula is continuous with that lining external acoustic meatus

Anatomy of the Human Body. The surgeon applies corrective technique that combines pertinent technical aspects of Furnas suture and conchal excision techniques. hours. Thus a big cavum conchae is reduced without any excision of cartilage and the ear moves towards head desired degree. The EarWell infant correction system is tissuemolding device four parts posterior shell cradle which emplaced over and around to be corrected it adheres skin of head ii retractor for shaping rim pinna iii conchal former central hollow iv anterior that fits atop affixes interior locks onto cover protect . In front of the concha and projecting backward over meatus is small pointed eminence tragus so called from its being generally covered under surface with tuft hair resembling goat beard. mm in order to create tragus the small rounded projection located before external entrance ear canal. Indications. Otolaryngologic Clinics of North America volume issue pages Fritsch . In man these muscles possess very little action Auricularis anterior draws forward and upward superior slightly raises posterior backward. The abrasion roughening or scoring of anterior front surface anti helical fold cartilage causes to bend away from abraded side per Gibson principle towards intact perichondrium membrane fibrous connective tissue. Tissue Molding