Otoplasty

Most individuals seeking consultations for ear reconstruction have protruding ears (bat ears) or deformities of the ear folds which often results in ridicule and cruel remarks from their peers. This in turn lowers their self esteem and confidence. Otoplasty can be performed to place the ears back in a more natural position dramatically improving the aesthetic appearance. Patients can be treated as outpatients under general anaesthesia or under local anaesthesia combined with IV sedation. For children it is better to wait until they are at least 6 years old. An advantage in performing otoplasty in children is that the cartilage is still soft and easily moulded, as cartilage becomes firmer with age. However, otoplasty is still very effective in teenagers and adults. Correction of severe deformities of the ears is more complex and can be discussed on an individual basis. Otoplasty can be performed to:

• Even up the size and shape of ears that do not match
• Pin back protruding ears
• Reduce excess cartilage in the ears

Understanding the Procedure

In the majority of cases an incision is made near the fold of the ear where the ear joins the head and an elliptical or dumbbell of skin is removed. The scar is hidden and not visible. The cartilage is then sculpted creating a more natural looking shape and stitched into place, or alternatively, a portion of cartilage may be removed and the ear folded back to its new permanent position. Stitches along the incision line will be either dissolvable or removed in 7-10 days. The surgery lasts 1-1 ½ hours. Patients are normally ready to go home after a few hours. Children must stay with a responsible adult for 24 hours if the child is discharged home on the same day.