Clefts of the ear are rare and typically develop within the earlobe. They were first described by Vincent et al. in association with urogenital anomalies. Subsequently, Cosman reported them in 1970, referring to the condition as “question mark ear,” which led to its naming. This deformity is infrequently reported and is not well-documented in the literature. In this paper, we present the first reported case in the Omani population of bilateral Cosman ear, associated with a mild cranial deformity. We also discuss the social impact of this condition and introduce our corrective technique for moderate forms of deformity.