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EAR SURGERY
(OTOPLASTY) |
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Operation
Duration
Anaesthetic
Number of
Treatments
Results |
2-3 Hours
General/Local
One
Permanent |
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Ear surgery can give you a look you have
wanted your whole life. Both adults and children have to endure ridicule and
embarrassment due to a deformity, being large or sticking out or protruding
ears, Otoplasty surgery is the name for a number of operations that resculpt
and reshape the ear. It is a more common surgery for males than females
because short hairstyles make ear deformities more difficult to hide. |
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Reasons for having Ear Surgery include |
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• To increase self confidence and enhance
self image
• Protruding ear
• Constricted ear (cup ear, lop ear)
• Stahl’s ear deformity (Spocks ear, Vulcan ear, Satyrs ear, Pointed ear)
• Macrotia (big ears)
• Telephone ear (larger at the top and bottom, smaller in the middle)
• Earlobe deformities
All of these problems can be surgically corrected. Sometimes only one ear
will be deformed, but it is usually best to perform otoplasty on both ears
so that the ears will match.
The best candidates for Ear surgery are those who are in good physical
health, are mentally and psychologically stable, preferably do not smoke,
those who want to improve their appearance and those who have realistic
expectations about the procedure and the results. |
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Planning
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Pre-visit and during consultations the
surgeon will try to evaluate your physical-mental health and any medical
conditions. In order to obtain the best results it is important that you are
honest with the surgeon, that you advise any previous surgeries, if you are
taking any medications, herbal supplements, vitamins or other drugs and if
you smoke. Be sure to discuss your expectations and goals. the surgeon is
here to guide, advise and explain to you how the surgery will be performed,
possible alternatives that may offer better results, the risks and
limitations of each as well as details of follow up and after care. |
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The Procedure
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Protruding ears are the most common problem.
The surgery used to correct protruding ears is referred to as “ear pinning”.
An incision will be made behind the ear in the fold where the ear meets the
head and either just skin or a piece of cartilage is removed or the
cartilage will be trimmed and reshaped. The ear is bent into a more natural
shape, closer to the head, secured and stitched. In addition to correct
protrusion ears may be reshaped, reduced in size or made
symmetrical. The goal of ear pinning is to change the angle, not the size of
the ear. Otoplasty to reduce ears that are too large is more complicated
than “ear pinning” and the surgery takes longer.
Another usually inherited deformity called “lop ear” where the fold of hard
raised cartilage that gives shape to the upper portion of the ear does not
exist causing the ear to stick out or flop down can be corrected by the
surgeon placing permanent stitches in the upper cartilage and tightened in a
way that creates a fold and props the ear up. Scar tissue will form later
holding the fold in place
Surgery can be done at any age, but usually otoplasty takes place between 4
and 14 years and after the ears have reached their full size (usually at 5
or 6 years old). Having the surgery at a young age has two benefits, firstly
the ears are more flexible making it easier to reshape and the
child will feel the benefits of cosmetic improvement and less social trauma.
Parents should not insist on surgery but stay alert to their childrens
feelings.
Torn earlobes can also be corrected. Many mothers have had their earlobes
torn by a baby’s tug on their earrings. Earrings also catch on clothing and
other objects, resulting in torn earlobes. These tears can be easily
repaired surgically. In severe cases, the surgeon may cut a small triangular
notch at the bottom of the lobe. A matching flap is then created from tissue
on the other side of the tear, and the two wedges are fitted together and
stitched |
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After Surgery and Recovery |
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Adults and children are usually up and around
within a few hours of surgery. An overnight stay may be recommended in the
hospital with a child until all the effects of general anaesthesia wear off.
A bulky bandage will be wrapped around the head immediately following
surgery to promote the best molding and healing. Headbands are sometimes
recommended to hold the ears in place for a month following surgery or may
be prescribed for night-time wear only. This will be replaced by a lighter
dressing to be worn at all times within a few days. Any stitches will be
removed in about a week. The ears may throb or ache a little for a few days,
but this can be relieved by medication. Work or school can be resumed
usually after a week following surgery. Any activity which may bend the ear
should be avoided for about a month. Any scar will fade within about a year.
Any piercing of the ear should be done after 4-6 weeks from surgery to
support lightweight earrings only initially.
The result of Otoplasty ear surgery is immediate, so often dramatic and
permanent. Most adults wished they had the corrective surgery at an earlier
age to change their appearance Otoplasty can do wonders for a child or
adults self-esteem, boost self confidence and ultimately improve quality of
life. |
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to learn more about any risks
and complication . |
>>>Read More | |
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Risks and Complications of
Otoplasty
Surgery is a serious business and not a decision to be taken lightly. There
is always the possibility that something may go wrong. No absolute
guarantees can be given. The surgeon will explain to you procedure, the
risks; alternatives and potential complications in detail so that you
understand what could go wrong.
It is very important that you follow the surgeons aftercare advice as this
is given to your for your benefit and will give you every chance of a speedy
and problem free recovery.
Complications of Ear surgery, when performed by a qualified surgeon, are
infrequent and normally minor although there is a possibility of infection
or a reaction to the anaesthetic. To reduce any risk the surgeons
instructions should be closely followed both before and after surgery.
All surgery involves risks and there are specific complications associated
with ear surgery. Asymmetry or uneven results can happen. The repair may
fail and the deformity may partially or completely recur.
A small percentage of patients develop a blood clot (hematoma) under the
skin of the ear. This may dissolve on its own or need drainage with a needle.
An infection can cause deformity and scar tissue. Antibiotics are the usual
treatment, drainage is rarely necessary.
Depression can often occur following cosmetic surgery. There are several
factors that contribute to post operative depression, including:
• The anticipation and stress of preparing for surgery can have a rebound
effect
• The medications, anaesthesia and trauma of the surgery have physical
effects that will affect your emotional well-being
• Stress and fear regarding complications and disfigurement
• Refraining from exercise can make you feel tired, blue, and out of sorts
• Adjusting to your new look
• Dealing with family and friends reactions to your surgery
• Financial stress
• Feeling guilty
Expecting to feel a bit down and accepting it as normal will help you get
back to normal sooner. Take time to relax, meditate and care for yourself.
It is also important to have support from others. Be sure to ask for help
from others. You can also find support online with other people who have had
the same procedure and may have similar experiences
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