This
is a procedure done for protruding or over-developed
ears. Otoplasty is commonly referred to as “pinning
back” of the ears and is done in children once their
ears have stopped developing, around the age of six
and also in adults. Over-developed ears can be the cause
of psychological stress and trauma and should be treated
at a young age before it becomes a serious issue.
Before
surgery
To
better understand your overall health, we will evaluate
your medical history prior to surgery. In addition,
a complete examination of your ears is made in order
to take the most effective surgical approach. All issues
such as shape and types of anesthesia used will be discussed.
We
will provide you with pre-operative instructions that
may include the elimination of specific drugs containing
aspirin several weeks before surgery to minimize excess
bleeding. Antibiotics may also be prescribed to prevent
infection.
The
areas that will be excised are marked and digital photographs
are taken in order to document the amount of improvement
after surgery.
The
Procedure
The
procedure can be performed under IV sedation or general
anesthesia and the doctor will discuss this option with
you. We can either fold the cartilage located on the
back of the ear or remove the excess cartilage which
differs from case to case. Sutures are placed and bandages
applied to speed the healing process. The procedure
typically takes only a few hours
Post-Operative
Information
After
the operation patients should expect bruising around
the area that fades in 2-3 weeks. Pain associated with
operation is minimal and can be easily treated with
oral medication. The bandages are only needed for a
few days and should be replaced with a lighter dressing.
Refraining from sleeping on the ears is required and
patients are advised to use a very soft pillow. Showering
shampoo may begin after a few days. Expect two to three
days of recovery before normal activities can be performed.
Aftercare
Wound
Care - Incisions may be cleaned with dilute peroxide
and coated with bactroban cream as needed.
Activity
– Increase activity as tolerated with no heavy exercise
for two weeks. Special Instructions – After dressing is removed, wear
support band at least for three to six weeks.
The more it can be worn the first week, the better.
Signs
of Hematoma – Painful extreme hardness or bleeding often
accompanied by bruising, usually unilateral causing
asymmetry.
