Otoplasty

IF YOU ARE CONSIDERING EAR SURGERY…

Ear surgery, or otoplasty, is usually done to set prominent ears back closer to the head or to reduce the size of large ears.

For the most part, the operation is done on children between the ages of four and 14. Ears are almost fully grown by age four, and the earlier the surgery, the less teasing and ridicule the child will have to endure. Ear surgery on adults is also possible, and there are generally no additional risks associated with ear surgery on an older patient.

If you’re considering ear surgery for yourself or your child, this information will give you a basic understanding of the procedure-when it can help, how it’s performed, and what results you can expect. It can’t answer all of your questions, since a lot depends on your individual circumstances. Please be sure to ask us if there is anything you don’t understand about the procedure.

ALL SURGERY CARRIES SOME UNCERTAINTY AND RISK

When a qualified, experienced surgeon performs ear surgery, complications are infrequent and usually minor. Nevertheless, as with any operation, there are risks associated with surgery and specific complications associated with this procedure.

A small percentage of patients may develop a blood clot on the ear. It may dissolve naturally or can be drawn out with a needle.

Occasionally, patients develop an infection in the cartilage, which can cause scar tissue to form. Such infections are usually treated with antibiotics; rarely, surgery may be required to drain the infected area.

PLANNING FOR SURGERY

In the initial meeting, Dr Dolynchuk will evaluate the condition and recommend the most effective technique. He will also give you specific instructions on how to prepare for surgery.

WHERE THE SURGERY WILL BE PERFORMED

Ear surgery is usually performed as an outpatient procedure in a hospital or a freestanding surgery center. Occasionally, your doctor may recommend that the procedure be done as an inpatient procedure, in which case you can plan on staying overnight in the hospital.

TYPES OF ANESTHESIA

We may recommend general anesthesia, so that you will sleep through the operation. For adults, Dr. Dolynchuk may prefer to use local anesthesia, combined with a sedative, so you will be awake but relaxed.

THE SURGERY

Ear surgery usually takes about two to three hours, although complicated procedures may take longer. The technique will depend on the problem.

With one of the more common techniques, the doctor makes a small incision in the back of the ear to expose the ear cartilage. He will then sculpt the cartilage and bend it back toward the head. Non-removable stitches may be used to help maintain the new shape. Occasionally, he will remove a larger piece of cartilage to provide a more natural-looking fold when the surgery is complete.

Another technique involves a similar incision in the back of the ear. Skin is removed and stitches are used to fold the cartilage back on itself to reshape the ear without removing cartilage.

In most cases, ear surgery will leave a faint scar in the back of the ear that will fade with time. Even when only one ear appears to protrude, surgery is usually performed on both ears for a better balance.

GETTING BACK TO NORMAL

Adults are usually up and around within a few hours of surgery, although you may prefer to stay overnight in the hospital until all the effects of general anesthesia wear off.

The patient’s head will be wrapped in a bulky bandage immediately following surgery to promote the best molding and healing. The ears may throb or ache a little for a few days, but this can be relieved by medication.

Within a few days, a lighter head dressing similar to a headband will replace the bulky bandages. Be sure to follow our directions for wearing this dressing, especially at night.

Stitches are usually removed, or will dissolve, in about a week.

Any activity in which the ear might be bent should be avoided for a month or so. Most adults can go back to work about five days after surgery.

OTHER EAR PROBLEMS

Besides protruding ears, there are a variety of other ear problems that can be helped with surgery. These include: “lop ear,” when the tip seems to fold down and forward; “cupped ear,” which is usually a very small ear; and “shell ear,” when the curve in the outer rim, as well as the natural folds and creases, are missing. Surgery can also improve large or stretched earlobes, or lobes with large creases and wrinkles. Surgeons can even build new ears for those who were born without them or who lost them through injury.

Sometimes, however, the correction can leave a scar that’s worse than the original problem. Ask us about the effectiveness of surgery for your specific case.

MORE NATURAL-LOOKING EARS

Most patients, young and old alike, are thrilled with the results of ear surgery. But keep in mind, the goal is improvement, not perfection. Don’t expect both ears to match perfectly-perfect symmetry is both unlikely and unnatural in ears. If you’ve discussed the procedure and your expectations with the surgeon before the operation, chances are, you’ll be quite pleased with the result.