title: Anterior scoring approach for prominent ear anomaly: a modified Chongchet technique.
abstract: BACKGROUND
  One of the most common facial anomalies is the presence of a prominent ear. Numerous surgical techniques have been introduced in the literature for correction of this anomaly, which include suturing and sculpturing the ear cartilage. However, each has different complications. The modified Chongchet technique is one of the less invasive methods and can correct the above abnormality with satisfying results.
  
  
  METHODS
  From July 2001 to March 2011, 19 cases of prominent ear were corrected using the modified Chongchet technique. The mean follow-up period was approximately 4.5 years. We employed an anterior approach and partial-thickness scaphal cartilage scoring in these cases.
  
  
  RESULTS
  We observed no recurrences and no sharp cartilage protrusions following the surgeries. Additionally, all patients expressed satisfaction with the results.
  
  
  CONCLUSIONS
  We propose that the modified Chongchet approach is less aggressive and has improved surgical outcomes. One of the adverse effects of this procedure is unpredictable warping of the cartilage, which may result in asymmetry.
authors.affiliation: Department of Plastic Surgery, Tehran University of Medical Sciences, Hazrat-e-Fatemeh Hospital, Tehran, Iran.
authors.forename: Farhad
authors.initials: F
authors.lastname: Hafezi
authors.forename: Bijan
authors.initials: B
authors.lastname: Naghibzadeh
authors.forename: Amir Hossein
authors.initials: AH
authors.lastname: Nouhi
authors.forename: Ghazal
authors.initials: G
authors.lastname: Naghibzadeh
mesh_terms: D004431:Ear, External / Q000002:abnormalities* / Q000601:surgery; D006801:Humans; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000379:methods*; D013536:Suture Techniques