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Plastic surgery of ears

Plastic surgery of ears - Otoplasty

Protruding ears belong to the most common cosmetic defects. In many cases they are congenital. This defect can both be unilateral and combined with different shapes and sizes of auricles, and the angle of protrusion does not have to be the same on both sides.

Otoplasty – What solution it brings?

A surgery can correct for example the inappropriate size of the auricle, either as a whole, or its respective parts (e.g. a too large earlobe), it is also possible to amend stretched earlobes or earlobes with distinct folds and wrinkles. An experienced plastic surgeon can sculpt new earlobes to people who were born without them or who lost them due to an injury. In these cases, it is possible to use either the patient's own cartilage, or specially shaped artificial implants. The surgery can not only solve congenital deformity, but also traumatic variations of ears. The surgery is very individual and it is preceded by a detailed examination and consultation. The plastic surgeon selects the most appropriate method and procedure based on physical condition and anatomical dispositions.

In children it is advisable to perform otoplasty as soon as possible because the child's ears heal better and unlike adults, children do not have a fully developed sensory nervous system. The ears are already fully developed at the age of four years, the surgery is usually performed in children aged 5-7 years, usually at the beginning of school attendance. With the adolescence, the defect usually gets even more pronounced. If this is the case and the decision for surgery comes later, the surgery can be done virtually at any time.

Procedure

The modelling surgery itself, the plastic surgery of auricles (i.e. otoplasty), is performed under local anaesthesia, which, as the case may be, can be combined with intravenous anaesthesia, taking approximately one hour. The approach used is from the back side of the auricles, so that the resultant scars are as invisible as possible. The problem of protruding ears is caused by incorrect mutual positions of cartilages in the inner and outer parts of the ear. The surgery amends the angles between the cartilages, so that in the anteroposterior direction the cartilages of both central and peripheral parts were approximately in one plane. After the surgery under local anaesthesia, the patient leaves for home approximately two hours later.

Recovery

The first few days after the surgery, the patient should rest and sleep only on the back with an elevated head. The first re-dressing is generally carried out on the 2nd day after the surgery and it comprises the application of a special headband. Another check-up follows in about a week. After the surgery, the auricles may hurt for approximately two days, particularly in adults, however, the pain gradually subsides. Relief can be achieved through the administration of conventional analgesics. Children tolerate the postoperative period quite well, as the soft and flexible cartilage of children's ears does not cause so distinctive pain. The stitches on the back side of the auricle are made from an absorbable material and come off within 3-4 weeks. For a period of four weeks the patient has to wear a special protective headband, which can be removed for personal hygiene only.

For another three weeks, caution is necessary and it is recommended to fix the auricles for night with a headband. Full participation in physical activity is recommended after four weeks following the ear surgery when the wound is already sufficiently healed. Recovery, however, is individual and depends on the capacity for healing of each individual organism and on the scope of intervention. A good result of otoplasty and mutual satisfaction is a common interest of the patient as well as the surgeon, and therefore the necessary prerequisites for success are mutual trust and cooperation between the patient and the surgeon.

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