Otoplasty

The prominent ear deformity is the condition in which the auricle is curved forward, contrary to the normal anatomical position. Prominent ears is a common problem that can be the source of significant psychosocial, emotional or behavioral problems in children. It is the most common congenital ear deformity. Otoplasty are safe procedures. Since only the outer part of the ear is intervened in prominent ear aesthetics, it does not cause a problem with hearing.

There are three anatomical disorders that cause prominent ear appearance: Underdevelopment of the ear fold, The bucket pit is deep, Auricular detachment from the head. Each of these three disorders may be of different severity in each patient. Treatment is aimed at correcting these disorders.

Who Gets Prominent Ear?

Prominent ears are seen in about 5% of children. There is a genetic transition and it is more likely to be seen in those whose parents have prominent ears. It is much more common in the Celtic race and the Japanese. It does not discriminate between genders, but it affects boys more because girls can hide it with their hair.

Who Is Prominent Ear Surgery Performed?

If the child or his family is very disturbed by the image, if he is ridiculed by his friends, if these teasing affect the child's mental state, surgery should be performed. While some children say they are unaffected, their social relationships deteriorate and their school performance declines. In such cases, the decision for surgery is taken together with the parents and, if necessary, a psychologist.

When Should Prominent Ear Surgery Be Performed?

By the age of three, the auricle reaches 85% of its adult size. The ideal age for prominent ear surgeries is between 4-6 years old. It is recommended to perform the surgery before starting primary school so that the mental state of the children is not affected. For this reason, the number of older children and adults who have prominent ear surgery is not less. However, performing surgery at an early age both prevents the child from being psychologically injured, and the soft cartilages are shaped more easily.

How is Prominent Ear Surgery Performed?

Many methods are available. In the method I apply, an incision is made behind the ear, the front of the ear cartilage is weakened by drawing with a special tool, a fold is created with stitches, the auricle is sewn to the head with the help of stitches and tilted back.

The advantages of this method are that the scar remains behind the ear, the cartilage is not cut, the skin is not removed from behind the ear, the swelling is minimal and the results are permanent.

Estella Estetik | Otoplasty Why is it so preferred?

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What should be done and what should not be done before the operation?

As in all surgeries, it is necessary to stop aspirin and smoking 3 weeks before the surgery in prominent ear surgeries. In the last 1 week, it is necessary to stay away from drugs and similar substances that can dilute the blood.

What not to use:

Painkillers such as Apranax, Voltaren, Vermidon (Minoset, Novalgin can be used when pain relief is required), Multivitamin pills containing substances such as ginseng, ginko biloba, co-enzyme Q, Green tea, flaxseed, cherry stalk, tomato seed herbal products All weight loss products.

What Happens After Prominent Ear Surgery?

An elastic bandage is wrapped after the surgery. Patients are usually sent home the same day. Two days later, the bandage is removed, the wounds are checked, and the patient wears a tennis band to cover his ears. From the second day, patients can take a bath. Tennis tape should be used regularly for a week. At the end of a week, the tennis player's headband is worn indoors and at night for 3 weeks. In the first 3 weeks, it is necessary to protect the ears from impacts and pulling.

What kind of problems can be experienced after prominent ear surgery?

The problems that may be encountered in the early period are bleeding and suture opening. The risk of bleeding can be minimized with a meticulous surgical and post-operative bandage application. Among the problems that may be encountered in the late period are the reopening of the ears, asymmetries, irregularities, deformities and palpation of the sutures.

Is the Result of Prominent Ear Surgery Permanent?

Some opening in the ears can be expected after the surgery. This risk is lower in children. However, this risk will be minimized if the correct method is used and the bandage is used for a sufficient period of time after the surgery.

Procedure Summary

Processing Time: 12 hours
Anesthesia: Local Anesthesia – Sedation
Duration of Hospitalization: 3 – 4 Hours
Time to Return to Work: 2 – 4 Days

Frequently Asked Questions

In the first 3 months after birth, ear cartilage is very soft and takes shape easily. In this period, the appearance of prominent ears can be reduced or corrected with mold application and taping. However, after 3 months, this application is useless.

Pediatric patients are operated under general anesthesia. For older people and adults, the procedure is performed in the operating room, under general anesthesia or heavy sedatives (sedation).

Patients do not feel pain for 12 hours after the operation due to the drugs administered. There is no serious pain afterwards. Patients are most uncomfortable with the pressure of the bandage.

The surgical procedure takes between 45 minutes and 1 hour.

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