When I coined the name “cockleshell” for this deformity, I was unaware that the word did not have the same meaning around the world, so I prefer to use the title “snail shell” (escargot), which is better known and uniform everywhere. It corresponds to Tan-zer’s “constricted” ear, Group III and the “severe cupped” ear of Fukuda and has been called “cucurucho” (ice-cream cone) by Malbec. Basically, lop and satyr ears combine to form it. Clinically, it is a microtial syndrome with partial auricular atresia of individual characteristics and require a unique method of treatment. Shell ear is an embryonic, clinical, and surgical entity.
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