Chondrocutaneous transposition flap for congenital tragal malformation with dystopic cartilage

Ji In Jeon, Jeong Hyun Ha, Sukwha Kim

Research output: Contribution to journalArticlepeer-review


Due to the variety in the shape of dysmorphic cartilage, tragus reconstruction is one of the most challenging goals in otoplasty. The authors describe a method to reconstruct a prominent tragus in a simple way suitable for accounting for the size, shape, and location of the remaining ear. We present a case of tragus deformity in an 11-year-old female patient after a previous excision of pretragal skin tags. There was a small remnant of the deeply located dystopic cartilage in a horizontal orientation. The dystopic cartilage was used to reconstruct the tragus using a chondrocutaneous transposition flap. Only a small portion of the pre-existing cartilage was used to create a chondrocutaneous transposition flap that supplemented the portion of cartilage during tragus reconstruction. The result was a new tragus that showed acceptable improvement in shape, location, and projection. Patients with a small portion of pre-existing cartilage near the tragal wall may benefit from the use of this method for tragus reconstruction.

Original languageEnglish
Pages (from-to)405-407
Number of pages3
JournalArchives of Craniofacial Surgery
Issue number6
StatePublished - Dec 2019


  • Abnormalities
  • External ear
  • Surgical flap

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