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Reverse Telephone Deformity - A case for revision otoplasty

Submitted on Sun, 2017-05-14 20:12

Recently Dr Dan Robinson blogged about the telephone deformity after an otoplasty. It is also possible that patients can have a reverse telephone deformity after an otoplasty. 

The reverse telephone deformity is where the top and bottom of the ear [superior and inferior] are pulled to tight and closely to the skull [mastoid bone] relative the the middle of the ear. This creates an ear which is very prominent in the middle.

The causes of a reverse telephone deformity include:

  • Concho mastoid sutures pulling out [Furness sutures] causing the middle of the ear to be more prominent
  • Not enough conchal bowl resection posteriorly
  • No soft tissue removal behind ear

Dr Dan Robinson ensures that when performing an otoplasty that the middle of the conchal bowl is adequately set back to avoid this complication. If you have a reverse telephone deformity then it is possible that it might be able to be improved with a revision otoplasty by Dr Dan Robinson.