Ear Surgery (Otoplasty)

If You're Considering Ear Surgery Planning For Surgery Where The Surgery Will Be Performed Types of Anesthesia The Surgery Getting Back to Normal Other Ear Problems More Natural-Looking Ears

If You're Considering Ear Surgery... Ear surgery, or otoplasty, is usually done to set prominent ears back closer to the head or to reduce the size of large ears. For the most part, the operation is done on children between the ages of four and 14. Ears are almost fully grown by age four, and the earlier the surgery, the less teasing and ridicule the child will have to endure. Ear surgery on adults is also possible, and there are generally no additional risks associated with ear surgery on an older patient. Planning For Surgery Dr. Vartany recommends that parents stay alert to their child's feelings about protruding ears; don't insist on the surgery until your child wants the change. Children who feel uncomfortable about their ears and want the surgery are generally more cooperative during the process and happier with the outcome. In the initial meeting Dr. Vartany will evaluate your child's condition or yours if you are considering surgery for yourself, and recommend the most effective technique. He will also show you before and after pictures of ear surgeries that he has performed. Where The Surgery Will Be Performed Ear surgery is usually performed as an outpatient procedure in a hospital, outpatient surgery center or the office.

Types of Anesthesia If your child is young, Dr. Vartany may recommend general anesthesia, so the child will sleep through the operation. For older children or adults, Dr. Vartany may prefer to use local anesthesia, combined with a sedative, so you or your child will be awake but relaxed. The Surgery Ear surgery usually takes about two to three hours, although complicated procedures may take longer. The technique will depend on the problem. With one of the more common techniques, Dr. Vartany makes a small incision in the back of the ear to expose the ear cartilage. He will then sculpt the cartilage and bend it back toward the head. Non-removable stitches will be used to help maintain the new shape. Occasionally, Dr. Vartany will remove a larger piece of cartilage to provide a more natural-looking fold when the surgery is complete. Another technique involves a similar incision in the back of the ear. Skin is removed and stitches are used to fold the cartilage back on itself to reshape the ear without removing cartilage. In most cases, ear surgery will leave a faint scar in the back of the ear that will fade with time. Even when only one ear appears to protrude, surgery is usually performed on both ears for a better balance.

Ears that appear to stick out or are overly large can be helped by ear surgery. An incision is made in the back of the ear so cartilage can be sculpted or folded. Stitches are used to close the incision and help maintain the new shape. Creating a fold in the cartilage makes the ear lie flatter against the head and appear more normal.

Getting Back to Normal Adults and children are usually up and around within a few hours of surgery. The patient's head will be wrapped in a bulky bandage immediately following surgery to promote the best molding and healing. The ears may throb or ache a little for a few days, but this can be relieved by medication. Within a few days, the bulky bandages will be replaced by a lighter head dressing similar to a headband. Be sure to follow Dr. Vartany’s directions for wearing this dressing at night for six weeks. Any activity in which the ear might be bent should be avoided for a month or so. Most adults can go back to work about five days after surgery. Children can go back to school after seven days or so, if they're careful about playground activity. You may want to ask your child's teacher to keep an eye on the child for a few weeks. Other Ear Problems Besides protruding ears, there are a variety of other ear problems that can be helped with surgery. These include: "lop ear," when the tip seems to fold down and forward; "cupped ear," which is usually a very small ear; and "shell ear," when the curve in the outer rim, as well as the natural folds and creases, are missing. Surgery can also improve large or stretched earlobes, or lobes with large creases and wrinkles. More Natural-Looking Ears Most patients, young and old alike, are thrilled with the results of ear surgery. But keep in mind, the goal is improvement, not perfection. Don't expect both ears to match perfectly-perfect symmetry is both unlikely and unnatural in ears. If you've discussed the procedure and your expectations with the surgeon before the operation, chances are, you'll be quite pleased with the result. Excerpted from the ASPS/ASAPS Patient Education Brochures