Congenital inverted conchal bowl is a rare deformity with unknown etiology. Its occurrence poses both functional and aesthetic difficulties for patients. We report 2 cases of congenital inverted conchal bowl deformity in an 8-year-old male and 17-year-old female. Both patients were first evaluated in a delayed fashion with concern for difficulty hearing, poor hygiene, and aesthetic concerns. Patient presentation, surgical management, and 6-month follow-up results are presented. Both patients had improved functional and aesthetic outcome after surgical correction.
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