Constricted ears, also known as «lop ears» or «cup ears,» are a condition where the ear is abnormally shaped or folded, often appearing smaller or more tightly drawn than usual. This condition can be present at birth or develop in early childhood, and while it usually does not affect hearing, it can impact appearance and self-esteem. Surgical correction is often sought for cosmetic reasons, with procedures that can reshape the ear to achieve a more natural appearance. Early treatment can help address any concerns related to both form and function.
What Are Constricted Ears?
Constricted ears, also known as lop ears or cup ears, refer to a condition where the outer part of the ear is wrinkled, folded, or flat. This condition is present at birth and can affect one or both ears. While constricted ears don’t cause medical problems, treatments are available if parents or the child want to correct the ear’s appearance.
Signs & Symptoms of Constricted Ears
Most children with constricted ears have no other symptoms, and the condition usually does not affect hearing.
What Causes Constricted Ears?
Constricted ears occur when the skin or cartilage of the ear doesn’t develop normally before birth. The exact cause is unknown, but it may be related to the baby’s position in the womb. If the ear is pressed against the side of the womb, it may reduce blood supply, causing the ear to form abnormally.
How Are Constricted Ears Diagnosed?
Constricted ears are usually identified at birth during a physical exam. No further tests are typically needed to diagnose the condition.
How Are Constricted Ears Treated?
Treatment isn’t always necessary, but if parents or the child are concerned about the appearance of the ear, options are available:
- Ear Molding for Newborns: In the first few weeks of life, a newborn’s ears are still soft and flexible. Doctors can use ear molding, which gently reshapes the ear by fitting a mold over the outer ear. The baby wears the mold 24 hours a day for several weeks.
- Surgery for Older Babies and Children: Ear molding is not effective for older babies because their ears are less flexible. For children around 4–6 years old, surgery can be done to reshape the ear. If the ear is only mildly constricted, the surgeon can use the ear’s own cartilage. For more severe cases, cartilage may need to be taken from another part of the body, such as a rib.
What Else Should I Know?
Constricted ears don’t require treatment unless the child or parents want to change the ear’s appearance. If your child expresses interest in having their ears reshaped, speak with a doctor to explore available treatment options.