Protruding Ears (Bat Ears)

‘Bat ears’ are common in children (Figure 5.1). In newborn babies, a specially designed splint (Gault splint®) can help to reform the helical fold. In older children, parents often request surgery around the time the child starts school to minimise teasing and bullying.

Congenital Malformations

Microtia 

Abnormalities of development of the external ear range from minor anomalies to complete absence of the external ear (Figure 5.2). Surgical reconstruction is very challenging. Good quality prostheses are now available but are not usually needed until the child is older. Always make sure the child’s hearing is carefully checked. Microtia may be part of a syndrome or one of a series of congenital malformations so the child needs careful examination and investigation by a paediatrician.

Pre-Auricular Sinus 

A small sinus in front of the external ear (Figure 5.3) is fairly common and can be removed surgically.

Skin Tags 

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