Otoplasty is a type of surgical intervention on soft tissues and cartilages of the auricle, which is used to correct deafness and eliminate deformities and defects of the auricle.
TYPES OF OTOPLASTY
- Aesthetic otoplasty: the operation is performed to give the auricle a more aesthetic appearance.
- Reconstructive otoplasty: used to restore individual missing sites or the entire auricle.
INDICATIONS FOR SURGERY
- repeated otoplasty, if the results of the first operation were unsatisfactory for the patient;
- an increase in the angle between the skull and the auricle, which normally should be no more than 30 ° ;
- partial or complete, congenital or acquired absence of the auricle;
- irregular shape of the auricle unilateral or bilateral;
- plastic of the earlobe with its underdevelopment or deformation.
CONTRAINDICATIONS FOR SURGERY
- acute infectious diseases;
- oncological diseases;
- blood clotting disorder;
- chronic inflammatory diseases of the outer and middle ear;
- in some clinics, surgery is not taken during menstruation.
Photo: before and after ear surgery
- general analysis of blood, general analysis of urine;
- biochemical blood test, coagulogram;
- blood test for markers of viral hepatitis, HIV, syphilis;
- electrocardiogram, fluorography.
To date, there are about 170 different varieties of surgery on the outer ear. This is due to a large number of structural features of the auricle and the need to preserve individual features of the structure of the outer ear after surgery.
In each case, the surgeon selects the optimal method for the operation, taking into account the existing anatomical defect or deficiency and the expected result.
The only thing you need to decide on is the method of making incisions during the operation. They can be carried out with a scalpel or laser. A number of operating doctors insist that using a laser has its advantages:
- postoperative scars are less pronounced and may be absent altogether;
- healing after surgery is faster.
It is possible that they are right, but much depends on the individual characteristics of the patient’s body.
HOW IS THE OPERATION
First of all, anesthesia is performed. For children, the operation is performed under general anesthesia; for adults, the area of operation is anesthetized locally, approximately the same as teeth are anesthetized in dental practice.
Then make an incision with a scalpel or laser, excise excess skin and ear cartilage, form a new position and size of the auricle. The surgical wound is sutured with conventional or absorbable sutures.
A special dressing is applied to the operated ear. After otoplasty, the compression bandage must be worn for several days so that the new position of the auricle is maintained all the while healing takes place.
REHABILITATION AND RECOVERY
In most cases, the operation and wearing a compression dressing is enough, which is changed 1 time in 2-3 days. Some patients need to undergo additional corrective procedures, which are prescribed by a doctor, in order to achieve an optimal result. As a rule, the doctor informs the patient about the need for such procedures at the stage of consultations before the operation.
The sutures after otoplasty are removed on the 8-10th day after the operation, if no self-absorbable suture material has been used. All this time you can not wet the postoperative wound. It is recommended to limit physical activity for 2-3 weeks after surgery.
Within 1-2 weeks, there may be a slight swelling and pain after otoplasty, which subsequently disappears without treatment. Sometimes a doctor may prescribe painkillers.
COMPLICATIONS AFTER OTOPLASTY, ADVERSE EFFECTS OF SURGERY
- suppuration of the postoperative wound, divergence of the edges of the wound; A fragment of the ear is visible in the photo, where the seams on the cartilage have spread and a section is formed, filled only with skin.
- the formation of severe scars, including keloid;
- bleeding from an operating wound;
- the development of severe edema and extensive hematoma, which may require additional drainage;
- the development of diffuse external purulent bacterial or fungal otitis media;
- in the distant period of the operation, germination of the operated cartilage by vessels with gradual resorption of the cartilage and secondary deformation of the auricle is possible;
- noticeable signs of surgery on the outer surface of the ear.
How much to wear a bandage? The duration of wearing a bandage is determined individually in each case and depends on the speed of healing of the surgical wound. Usually the wearing period ranges from 1 to 3 weeks.
At what age can otoplasty be done? Usually, otoplasty is not done until the baby is six months old. Before this period, the formation of the auricle is underway, therefore, if there is a slight deformation, then the elimination of deafness is carried out without surgery, by fixing the auricle in the correct position. If before six months the fixation was not carried out and the cartilage of the ear was fixed in the wrong position, then it is better to perform the operation until the child reaches the age of 6 years, in order to avoid the formation of complexes about his own appearance.
What is the best way to do otoplasty with a laser or a scalpel? The choice is yours and your surgeon. In any case, the incision is made along the posterior surface of the auricle and will be securely hidden in the fold of the skin.
Is free otoplasty possible? Possible. But such an operation, as a rule, is carried out only for medical reasons.
Is it possible to correct protruding ears with the help of an operation? Can. Lop-eared correction is the most common indication for ear surgery.
How is otoplasty done? One, common to all cases of otoplasty, the method of operation does not exist. Therefore, for each patient, the surgeon chooses his method of surgery based on the needs of the patient and his own capabilities.
Is repeated otoplasty possible? Repeated otoplasty is quite possible if the patient after the first operation did not get the desired result.
Is repeated otoplasty more expensive? The cost of the operation in this case will depend on the indications for repeated otoplasty. If this eliminates a small asymmetry, then the operation is unlikely to be more expensive for you. If it is necessary to eliminate keloid scars, secondary deformation of the auricle, etc., then the operation can cost much more. Therefore, the exact price of repeated otoplasty you can find out only during a personal consultation.
How long does repeated otoplasty take? The term is determined by the operating physician during a face-to-face consultation. In some cases, repeated surgery on the auricle is not performed due to the development of severe deformation of the tissues and the unpredictability of the effect of repeated otoplasty.
What side effects of surgery can be? Most often, after surgery, there are complaints of slight soreness and swelling of the tissues in the immediate vicinity of the surgical wound. It is not dangerous and passes within 1-2 weeks without treatment.
How is the postoperative otoplasty period? If you follow all the recommendations of the doctor and arrive at the dressings on time, then the postoperative period passes without any problems. The only restrictions are not to engage in heavy physical labor and sports for 2-3 weeks and not to wet the postoperative wound until the sutures are removed.
How long after surgery do my ears hurt? Usually the pain goes away within a week or two.
WHICH CELEBRITY DID OTOPLASTY?
Photo: Nelly Ermolaeva Photo: singer Rihanna Photo: Beyonce Photo: Brad Pitt Photo: Scarlett Johansson
PHOTOS BEFORE AND AFTER OTOPLASTY