Otoplasty - ear surgery
Ear surgery, ie. otoplasty is a low-risk operation, and of great physical and mental value to the patient. It is best done in childhood, when the ears finish growing, but it is also possible in adulthood. It is most often used to return the ear to its normal position from protruding position. , but it is also possible to reduce or shape the ears. As with all surgeries in cosmetic surgery, preoperative consultations are mandatory and very important for the patient and parents, as well as the operator. After surgery, if the patient follows the instructions, there are usually no significant pain or complications.
OTOPLASTY - CORRECTION OF PROTRUDING EARS
Otoplasty – aesthetic correction of outstanding ears, is probably the most effective operation for the correction of any body defect.
The most common candidates for otoplasty are children, operations are performed when the ears reach their final size, which is about 5-6 years of age. The problem of irregular ears is not only aesthetic but also psychological. Even with minor deformities, it can result in impaired self-confidence and poorer adaptation in school. In adults, this surgery also has an important psychological impact. There is often a desire to change the hairstyle that will no longer have to cover protruding ears.
The possibilities of the operation do not only consist of returning the ear to its normal position, but it is also possible to shape or reduce it. Also, it cannot damage hearing, and successful surgery involves ears proportional to the size and shape of the face and head.
Just as a positive attitude toward any plastic surgery is essential, it is also especially important when it comes to childhood or adolescence. Preoperative consultation helps parents to assess what is most appropriate for their child, both physically and psychologically.
The right time to perform surgery is an equally important detail. Early childhood is the most desirable time for several reasons:
- cartilage is the softest and therefore most suitable for shaping and
- the child will have the greatest psychological benefit from the aesthetic improvement of the appearance.
Adult candidates for otoplasty should know that older ears show different characteristics than children’s ears and have less remodeling capacity.
During the consultation, the surgeon will examine all the structures of the ear and estimate possibility of correction. Even if the ears are only protruding, with no other deformities, it will probably be necessary to do the operation on both sides for maximum effect and symmetry. It is common for surgery to be performed under general anesthesia for smaller children, and under local anesthesia with sedation in older children and adult patients. Typical surgery on both ears takes about 1.5-2 hours.
The operation begins with an incision in the skin behind the ear, in a natural crease where the ear joins the head. After that, remodeling/removal of the appropriate part of the cartilage and conservative skin removal are approached. Most commonly, the cartilage is modeled and reshaped, and the ear is rotated backwards and fixed with resorbable sutures of the PDS type (they dissolve after a few months) that hold the ear in a new position and shape until healing is complete.
In the Polyclinic, we usually perform operations that are a combination of certain techniques named after their original authors (Mustard, Converse, Stoenström, Chong Chet, etc.).
AFTER THE OPERATION
After the operation, a sterile bandage is placed around the ears and head for a few days. Significant pain is not usual. The only discomfort is the inability to sleep in the usual position (it is necessary to avoid sleeping on the side and pressure on the operated area). After sutures removal (usually the 7th day of surgery), the bandage is applied only overnight for another month. This protects the ear from trauma in the early postoperative period.
The risks of ear surgery are minimal. Care should be taken to develop inflammation and hematoma formation. After removing the suture, a thin hidden scar remains on the back of the ear, almost imperceptible. There is a very small chance that the ear will return to its original position due to the cartilage tissue memory.
PRICE OF OTOPLASTY
Reconstruction of malformed ears – otoplasty: 8.000 – 12.000 HRK
The most commonly feared risk of otoplasty is the return of the ear to its initial standing position. Although there is a risk, especially in adult patients, prevention is the positioning of the ear in the "hypercorrection" position which, after the end of healing, comes to the exact desired position.