In the general structure of the face, the ear is an organ that performs the sensory function and often remains in the background. Prominent and discrete ear appearance on direct glance is known as prominent ear disease. Anatomically, it is characterized by an increase in the angle of the auricle with the skull base, incomplete formation of the ear folds and an increase in its depth in the auricle. Embarrassment and lack of self-confidence are inevitable in people with prominent ears due to being the subject of ridicule. Especially in young children of school age, this problem can cause irreversible problems in personal development and adaptation to social life. Today, this disease is treated quickly and effectively with otoplasty operation.
Appropriate Patient Profile
Ear development in humans is largely completed around the age of 5 years. For this reason, otoplasty surgery is not applied to people under the age of 5 years. Especially in children, it is more beneficial psychologically if it is done in the pre-school period.
After a suitable disease history and physical examination, the shape of the ear and the degree of the disorder are evaluated, and a roadmap for surgery is drawn. Conditions that may pose an obstacle to the operation are inspected by the anesthesiologist, and necessary blood tests are performed. In case of chronic diseases that may affect the surgery, additional examinations or consultations may be requested. If any blood thinners are used, they should be discontinued at least 1 week in advance. Smoking may impair the wound healing process in some patients. There is no need to discontinue drugs used for other chronic diseases.
Otoplasty operation is performed in a hospital setting. General anesthesia in children and local anesthesia and sedation in adults are often preferred. Average time is 1 hour. After the incision is made behind the ear in a way that is not visible, the ear is tilted towards the head with the help of stitches and the folds are made clear. After this surgery, there is no growth or reduction in size of the ears. Only the angle of the ear is changed and shaped. At the end of the operation, the ear is put on a pressure dressing.
After the operation, food is eaten at the 4th hour and the patient gets up from the bed and starts walking. The patient is discharged on the same day. Pain is not evident. On the 2nd day, the bandages of the patient are removed. The patient uses a sports bandana for about 2 weeks after the surgery.
Of course, every surgical procedure has its own complications. Although these are rare, they should be explained to the patient by the physician for the purpose of informing the patient. There are alternative solution options for all of the early and late complications that may develop. temporary problems; tenderness, pain, early problems; bleeding, infection, delayed wound healing, long-term problems; aesthetic problems (asymmetries, reopening, suture reactions)