Otoplasty

The prominent ear can be a subject of bullying. Being teased because of protruding ears can affect the emotional health and social interactions of the child or an individual.

Otoplasty is an ear surgery that improves the shape and size of the ears by correcting the proportions of the misshapen or prominent ears caused due to injury, congenital deformity and sometimes genes are also responsible for causing prominent ears. 

So, otoplasty involves reshaping the outer ear i.e. pinna. Ears are considered 'prominent' if they protrude out for more than 2 centimeters from their side of the head. The normal outer ear is positioned at an angle of 20-35° from the side of the head, and if the angle is more than 35° it causes them to appear as prominent ears. The condition - protruding ears - does not affect a person's ability to hear.

Prominent ears cause embarrassment in both children and adults who often try hiding their ears with caps, hair, hats to withdraw attention from their ears. Otoplasty surgery is performed by an expert plastic surgeon, who plans the surgery as per the patient's goals and facial anatomy. As, in this condition, the ears stick out too far, compared to the average person's ear appearance, and these protruding ears attract the attention of one's eye. 

What causes prominent ears?

  • Overdeveloped cartilage

  • Loss of excess conchal (bowl of the ear) cartilage, causes the ear to push out and forward

  • Loss of the anti-helix hold that causes the helical rim of the ear to flare out

  • Trauma or injury

Otoplasty surgery benefits

  • Create a natural shape and projection that brings proper balance to the ears in proportion to the face

  • Correct the defects or irregularities of the ears that affect the self-esteem and appearance

  • It helps to optimize ear symmetry

What to expect before surgery?

  • The surgeon examines the ear and discusses all the related concerns 

  • Physical examination (placement, size, symmetry, and shape) helps ensure that one is a good candidate for this surgery

  • The surgeon also reviews the past medical history of the patient (mostly related to ear infection)

  • The surgeon will also take pictures of the ear for medical records

  • The patient must avoid anti-inflammatory drugs, supplements, blood thinning medication, as they can increase the risk of bleeding during the surgery. Consumption of alcohol and smoking must be avoided at least for a few weeks before and after the surgery. Smoking, tobacco, and alcohol can decrease the rate of flow of blood and can slow down the healing process. 

Note: Surgery is performed for the patient with the age of 5 years or more. Before the age of 5, the ear cartilage is very soft and weak. (By the age of 5-7 years the child's ear is about 80-90% of the size of the adult ear). During the surgery, the sutures are made in the cartilage present under the ear skin. This helps to reposition the shape and structure of the ear. After the age of 5, the cartilage of the ear become strong enough to hold the sutures reliably, and this helps to increase the chance of successful surgery. Otoplasty surgery is performed at Inform Clinics for every age group individual by expert surgeons; to know more about otoplasty treatment and otoplasty cost in Hyderabad, one can consult Dr. Dushyanth Kalva.

Procedure

The total time of the surgery is about 2-3 hours (depending upon the changes required). Local anesthesia is administered to numb the area. The surgery improves the size, projection, and contour of the ears. The technique of otoplasty surgery is based on the type of correction required by the patient. The incision of the surgery is made on the backside of the ear. In the ear cartilage, the stitches are made to create a normal look on the ear front. To rotate the ear back and to place it closer to the head, the stitches are made on the cartilage and are secured with internal stitches. 

If the surgical incisions are made on the front of the ear, the stitches are made within deep folds of the ear to hide them well. Many a times, the non-dissolvable suture is used during the surgery as it takes 1 year for the cartilage of the ear to permanently adopt the new ear structure and shape. Then after the surgery, a dressing is applied. To manage the discomfort after surgery, oral medications are prescribed. When the dressing is removed after a few days of surgery, a headband must be worn at night time for about 3-5 months to protect the ear. 

As the requirement of every individual varies, the ear surgery cost in Hyderabad at Inform Clinics also varies. For more information, consult an expert today at Inform Clinics.

Ideal candidates for otoplasty?

The concerns treated with otoplasty include:

  • Bothered about their stuck out ears from the head

  • Ears are large as compared to the head proportion

  • Candidates who are dealing with Macrotia (overly large ears)

  • Uneven ear shape and size

  • Birth ear defects like cryptotia, lop ear, and constricted ear

  • Revision otoplasty (unsatisfactory result from the previous surgery)

  • Protruding ears

  • Healthy patient, not suffering from any medical condition that causes impaired healing

  • The patient and family both have a positive outlook and realistic expectations with the result of the surgery

Result

It brings back the ear projection to normal and the results are immediate after the surgery. 

Risks after surgery

  • Adverse reaction to anesthesia

  • Asymmetry in the ear placement

  • Temporary change in skin sensation

  • Inflammation in the problem site of stitches

  • Overcorrection (to correct previous surgery unnatural contour)

  • Bleeding, pain, and infection

Aftercare

  • Limit physical activities for 3 to 5 weeks after surgery

  • Avoid contact sports such as rugby, judo, basketball, cricket, football for 4-5 months

  • Swimming should be avoided for 8-10 weeks after surgery

  • Do not apply pressure on the ears, and sleep in an upright position, not on the sides

  • Do not rub or scratch the incision site

  • Wear button-down shirts and loose-fitting clothes 

  • Drink plenty of water and fluids

  • Avoid making strong facial expressions

  • Take the medication prescribed by the surgeon

If someone feels excessive pain, nausea, pus, or any other discomfort at the surgical site, then they must consult with their surgeon immediately.

Otoplasty or ear surgery in Hyderabad, performed at Inform Clinics by Dr. Dushyanth Kalva, can help one achieve a better and natural-looking ear. It is a safe surgery with a high success rate.

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