Otoplasty | Ear Correction
Otoplasty (cosmetic ear surgery) oto stands for ear and plasty stands for moulding/surgical repair. This cosmetic ear surgery is performed to reshape, reconstruct, or replace a deformed, defective or missing external ear(pinna). Otoplasty is mainly of two types:
- Cosmetic otoplasty: The ear pinning surgery or otopexy where large ear or extruding ears (bat ears) are “pinned” back towards the patient’s head.This creates a common look that patients usually feel is simple, beautiful and looks better.
- Reconstructive otoplasty: The surgery to develop the outer ear after injury or the ear augmentation to correct the severe congenital defects of ear like Microtia or anotia. The other congenital defects of ear are Cagot Ear, Cat’s Ear, Scroll Ear, Lop Ear, Wildermuth’s Ear can also be corrected
Ear reduction surgery is done when the pinna is too big called macrotia. Otoplasty can be carried out at any age after the ears have reached their standard size which is usually after age 5 to adulthood. If a child is born with prominent ears and certain other ear-shape problems occur then splinting may successfully correct these issues if started immediately after birth.
Ear pinning and ear reshaping surgery is usually performed under a local anaesthetic with a sedative for adults.
Ear pinning combines removing skin from the back of the ear, cartilage sparing, and scoring techniques. This combination of techniques helps the surgeon to construct the ideal shape and better positioning of the patient’s ears.
Thus there are mainly two different techniques used to perform ear pinning or ear reshaping during otoplasty:
Cartilage sparing: In this technique a surgeon uses stitches and sutures to change the ear’s position and shape. A cartilage sparing otoplasty surgery is non-invasive, often resulting in smooth, natural-looking curvatures.
Cartilage scoring: In this technique a surgeon creates incisions(cuts) in the cartilage to rearrange, add, or remove the tissue. There is a greater risk of scarring when this technique is used, but those scars are difficult to see.
In both cases, your surgeon will begin by making a small incision at the back of your ear, allowing access to the cartilage for the necessary procedure. After the surgery is complete, the cartilage is then reshaped and excess skin is removed.
Finally, if necessary, the ear is repositioned more closely to the head,the incision site will be secured with stitches.The actual surgery will last about two to three hours, depending on the complexity of the procedure for your particular case.
In case of reconstructive otoplasty cartilage can be removed from the patient’s ribs to augment the ear and help it to get a more natural look. If a skin graft is necessary, tissue is usually transferred from the patient’s upper buttock area.
Otoplasty gives immediate results in cases of protruding ears, the outcome can be seen once the dressings that support the new shape of the ear during initial phases of healing are removed. As the ears after surgery are permanently positioned closer to the head, surgical scars are either hidden behind the ear or well-hidden in the natural creases of the ear. The outcome of more extensive cosmetic otoplasty and reconstructive otoplasty may appear in stages over time.The patient can return to school or job within a week of the surgery. Regular activity and exercise can restart within two weeks. If you’re unsatisfied with your results, ask your surgeon about the possibility of re-surgery.
A telephone support is always on hand if you do experience any pain or discomfort or have any queries after the procedure.
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