face - otoplasty
Introduction
Otoplasty refers to surgery performed to correct prominent or ‘bat’ ears by setting them back closer to the head.
The operation is usually performed after the age of 5 or 6 years. This corresponds to the time when the child is about to start school, when he or she may become embarrassed and withdrawn because of their perceived difference from their classmates. It is also the time when the ear has reached its adult size.
The surgery
The operation in performed in hospital under general anaesthesia. Usually an overnight stay in hospital is necessary. The operative technique will vary depending on which component of the ear is causing the prominence. The conchal bowl (central part of the ear) may be too deep or the antihelix (fold) of the ear underdeveloped. Mr. Bloom will tailor the operation to correct the specific problem. The aim is to create a more natural fold in the central portion of the ear by remodeling the cartilage. This may involve part of the cartilage being folded or removed. Often internal sutures are required to hold this new position.
The scar is placed in the groove behind the ear and is usually not noticeable once healed.
Complications whilst uncommon can occur. Complications from otoplasty include: bleeding and bruising, wound infection and delayed healing. Occasionally, a set back ear may protrude again, necessitating a second procedure. It is unrealistic to expect perfect symmetry between the two sides.
After your Surgery
In most situations you will go home on the day after your surgery.
Patients are discharged with a head bandage which is worn for up to 1 week. A headband or beanie are often worn at night and at school to protect the new position for a further 6 weeks.
Most patients are able to return to school or work in two weeks but are advised to avoid excessive exercise for up to 6 weeks.