Otoplasty typically serves two functions: setting prominent ears back closer to the head, and reducing the size of large ears. Ear surgery may also be helpful for the following conditions:
- Large or protruding ears
- Lop ear (top of the ear folds downward or inward)
- Cupped ear (a small ear)
- Shell ear (no outer curve in the cartilage)
- Large, stretched, or torn earlobes
- Earlobes with large creases and wrinkles
- Surgeons are also able to construct new ears for patients who are missing them from injury or other causes.
Candidates for Otoplasty
Candidates for otoplasty may be anyone who feels self-conscious about their ears and wants to improve their appearance. Although the operation is most often performed on children aged four to fourteen, this procedure can be very beneficial to people of all ages. Ears are almost fully grown by age four, and early surgery can prevent a child from being teased in school.
It is also important that you are in good general health and have realistic expectations about the outcome of the procedure. Discuss your goals of otoplasty with your surgeon so that you can achieve the results you desire.
The Otoplasty Procedure
Otoplasty, also known as ear pinning, generally requires two to three hours and is performed on an outpatient basis. The type of anesthesia used typically depends on the age of the patient. General anesthesia is recommended for very young patients, while local anesthesia and a sedative may be used for older children and adults.
The otoplasty procedure begins with a small incision made behind the ear, in the natural crease where the ear meets the head. The cartilage is then sculpted and bent into its new position to achieve the desired appearance. In some types of otoplasty, skin is removed but the cartilage is left in one piece and merely bent back on itself for a smaller-looking ear.
After sculpting the cartilage to the preferred shape, sutures are used to hold the ear in the new position until healing is complete. A bandage is then wrapped around the head to ensure the new positioning. To achieve better balance, both ears may be operated on even if only one has a problem.
Patients of all ages usually feel back to normal after a few hours, although the ears may ache or throb for a few days. Prescription medication will be made available to help alleviate any discomfort.
A few days after the otoplasty procedure, the bandages around your head will be replaced with a surgical dressing that should be worn for about one week. The stitches will be removed within one week. Otoplasty patients should avoid sleeping on their side for the first two weeks after surgery.
After about one week following otoplasty, children may return to school and adults are often able to return to work and resume normal daily activities. After the ears have healed completely, there will usually be a faint scar on the back of the ears. However, because of the strategic placement of the incisions in ear surgery, the scars should be virtually unnoticeable and will typically fade with time.
Risks and Complications of Otoplasty
As with all surgery, there are risks associated with otoplasty. A small percentage of patients may develop a blood clot on the ear. This generally dissolves naturally or can be treated with a needle. Another potential risk is an infection in the cartilage, which can cause scar tissue to form. This can usually be treated with antibiotics, but may occasionally require surgery. Also, you should not expect your new ears to match exactly; even normal, natural ears are not identical.
Complications are rare and usually minor, and can typically be minimized by following your surgeon’s aftercare instructions.