Ear Surgery (OTOPLASTY)

Otoplasty is surgery to correct a condition known as lop ear, resulting from a lack of natural folds in the ear cartilage (antihelix) or the excessive prominence of a specific part of the cartilage (pinna).

Candidate

Children 5 years of age and over with ear positioning problems (lop ear) or disproportionately large ears, whose parents decide to have the deformity corrected in order to prevent possible aesthetic consequences or problems with social acceptance. Adults are also candidates for this treatment and may receive it whenever they choose.

Preoperative Period

During the first visit, the surgeon will assemble the relevant medical history and examine the ears. The patient will be able to show the surgeon what he or she would like by standing in front of a mirror and manually folding his or her ears or simply pulling them closer to his or her head.

Based on the patient’s needs, concerns and expectations, the surgeon will then advise him or her as to the most appropriate technique and explain the results he or she can expect to obtain.

Surgical Technique

The surgery is performed in an operating room, usually under general anesthesia for children and local anesthesia for adults.

Otoplasty surgery tends to last 1 to 1.5 hours.

The procedure consists of making a hidden incision on the back of the ear to treat the cartilage by means of a series of sutures that create a new fold. Another option is to make scores or incisions on the front of the ear cartilage or pinna. This weakens the antihelix area, causing it to fold back.

Subsequently, the incision on the back of the ear is sutured with absorbable stitches and dressed.

Postoperative Period

For the first 24 hours, the patient will remain at the clinic, where he or she will be monitored and receive the necessary medication.

Bruises, pain and discomfort are normal.

On the second day, the patient will be examined and discharged with the medication and indications of the specialist.

It is critical not to place weight on your ears when you sleep.

Over the following days, follow-up examinations will be conducted and the dressings will be changed. At the end of the first week, the dressings will be replaced with a thick hair ribbon or headband, and the patient will be able to resume his or her daily activities, in keeping with the specialist’s instructions.

The ears must be protected until the inflammation subsides, normal coloring is regained and the final shape is gradually established.

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