By otoplasty we mean an operation intended for the correction of the protruding or particularly large auricle. More generally, it can be said that it is the intervention intended for the correction of the so-called “protruding” ears.The operation consists of shaping the cartilage or removing its excess part. The incisions are made behind the ear. In this way, there is direct access to the cartilage, which is modeled or removed. A part of the skin is then removed. A suture is performed, usually with absorbable thread. Protruding or protruding ears can be corrected at any age by means of Otoplasty.
The “protruding ears” can be, especially in the child or young person, the cause of psychological and social problems; surgical correction of the malformation can improve if not completely eliminate the psychological problems related to it. However, this desired outcome must not be an expectation of the patient as the psychological component may have other causes that are obviously not correctable with surgical therapy. It should be noted that the ears are never exactly the same even in a situation of absolute normality and therefore perfect symmetry represents an unreasonable expectation. The surgery has absolutely no effect on hearing.
The otoplasty surgery can be easily performed under local anesthesia to which sedoanalgesia can be associated, unless the patient’s young age or a particularly anxious character of the patient in rare cases require it to be performed under general anesthesia. Through a limited skin incision placed in the posterior part of the auricle it is possible, by remodeling the auricular cartilage, to recreate the normal shape of the ear. Only rarely and in specific cases (excessive width of the basin) may it be necessary to remove a portion of cartilage. The scars, being positioned in the back of the ear, are hardly visible except with a careful examination. The operation lasts an average of 1 or 2 hours and is not painful.
A feeling of discomfort, accompanied or not by a small pain which can be easily eliminated with painkillers, can accompany the first days after surgery.To avoid the onset of infections,antibiotic therapy is recommended.The dressing in agreement with the surgeon will be removed after a few days. For at least 4 weeks it is advisable to wear, especially during sleep,a moderately elasticated headband. he sutures are removed after 8-10 days.When the dressings are removed, the ears may appear swollen and bluish. This is normal and improves in a week or two. All hair treatments,including washing, can only be done after removing the dressings.
Any sporting activities can be resumed after 2 weeks, as long as they do not expose to possible trauma to the ears, even modest ones. Avoid the use of glasses with heavy frames for a month. For at least 1 month, avoid direct exposure to the sun or intense heat (e.g. sauna, UVA lamp). These indications can be changed by your surgeon depending on the evolution of the picture.Failure to follow the instructions of the healthcare professional can compromise the final result and increase the chances of relapse.