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Clinical Note |

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

Frederic W.-B. Deleyiannis, MD, MPhil, MPH
Arch Otolaryngol Head Neck Surg. 2010;136(3):304-305. doi:10.1001/archoto.2010.23.
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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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Figure 1.

The left conchal cartilage has been harvested with subsequent collapse of the conchal bowl and a high-frequency hearing loss. A, Left ear. B, Preoperative audiogram: R indicates the right ear thresholds with 65 dB masking in the left ear. L indicates left ear thresholds with the patient's postauricular brace in position. *Left ear thresholds without the patient's postauricular brace. ANSI indicates American National Standards Institute.

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Figure 2.

Reconstruction of the left conchal bowl. A, Costal cartilage carved into the shape of the missing auricular cartilage. B, Two-month postoperative appearance with restoration of the conchal bowl and normal hearing.

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