What are the causes of the deformity of the ear?

       The ear is a common congenital deformity. In normal adults, the distance between the upper part of the auricle and the cranial side does not exceed 2 cm, and the angle between the auricle as a whole and the cranial side is about 30 degrees, while the deformity of the beckoning ear manifests itself as an expansion of the angle of this distance, which is about 90 degrees.  The deformity is mostly on both sides, but the degree of severity may vary, and it can also be seen on one side. The deformity is mainly due to the excessive angle of the auricular nail. The normal posterior wall of the auricle is perpendicular to the cranial side, and the angle of the navicular nail is also at a right angle. The normal angle of the navicular nail constitutes the bulge of the opposite auricle and its posterior foot, but if the angle of the navicular nail is too large, when it is close to 180 degrees, the bulge disappears completely, and the triangular fossa and the navicular fossa lose their obvious interface and are located in the same plane.  This is a very rare case, and is usually caused by both of the above factors. In this case, the auricle is not only flattened, but also the shape is enlarged, causing the deformity to become more pronounced.  The treatment of the ear is non-surgical and must be started early and must be adhered to for several years if the non-surgical treatment of dressing shaping and pressure bandaging is to be tried. Since it is difficult to obtain the child’s cooperation, it is not easy to perform, so surgery is generally recommended.  The age of surgery is 5 to 6 years old. However, because the auricle matures earlier than other parts of the body, it may appear to be larger and protrude outward in early life compared to the skull, but sometimes the proportions become moderate as the child continues to grow. Some people find that this treatment is not necessary, so it is not advisable to perform surgery at an early age if the deformity is mild.