Congenital Ear Deformity Correction Surgery including Pinnaplasty

  • Related keywords: Pinnaplasty, Cryptotia, Microtia, Anotia
  • Date: 13 Oct 2017
  • Who applies for funding: General Practitioner (GP), Consultant (CONS)

Referral Route:

Individual Funding Request Panel (IFR)

Referral for the following interventions can only be made following authorisation from the CCG Individual Funding Request Panel. Applications should only be made to the Individual Funding Request Panel if there is clear evidence that the patient’s clinical circumstances or condition are exceptional, i.e. there is something about the patient’s condition or circumstances that differentiate them on the basis of need from other patients with a similar diagnosis or condition and would justify funding being provided in an individual case when it is not routinely funded for others. Funding requests from GP Practices can be accepted from Senior Clinicians, salaried GPs, Locum GPs or Practice Partners. Unfortunately we are unable to accept funding applications from other health professionals unless countersigned by a senior clinician or GP.

If you would like this policy in a different language or need it in another format, such as Braille, please contact the Patient Advice and Liaison Service on 0800 073 0907 or 0117 947 4477.


Pinnaplasty surgery is a cosmetic procedure normally performed on a child in order to correct the absence of a Helix formation in one or both ears.

It is commissioned on a restricted basis and will not be considered unless there is evidence of significant impact upon ability to lead a normal life. Cases will only be funded if they meet the criteria below.


Cryptotia means ‘buried ear’. This is a relatively rare deformation in which the groove behind the ear is not fully formed.

Microtia / Anotia

Microtia is a congenital deformity where the pinna is underdeveloped. A completely undeveloped pinna is referred to as anotia.

Both Cryptotia and Microta can be cosmetically displeasing and can on occasion lead to issues with wearing spectacles.

Cover for Congenital Ear Deformity Correction Policy

Congenital Ear Deformity Correction Policy

Treatment for Congenital Ear Deformity correction is not routinely funded by the CCG and is subject to this restricted policy.

Cover for Individual Funding Request (IFR) Application form

Individual Funding Request (IFR) Application form

This form must be completed when applying for treatments that are not normally commissioned by Bristol CCG. Please refer to the Interventions Not Normally Funded List (INNF) before making an application.