Ear Surgery - Proeminent Ears

Learn More About Ear Surgery – Proeminent Ears

Ear Surgery – Proeminent Ears

Ear deformities can have a wide variety of clinical presentations. The most common of these is the so called prominent ear.

When detected in the neonatal period, repositioning maneuvers and use of specific may be effective.

If this has not occurred, it is best to wait for the child’s development and schedule the surgical treatment from the moment the ear acquires a dimension close to that of the adult, after age of 6-7 years. At this age the concept of self-image is already developed and the child’s own desire will play a role to indicate the procedure.

The medical indication for treatment is based on the verification of the presence of some changes in the shape of the ear: its dimensions, the presence or absence of the normal contours and the positioning relationship between the ear and the head. The indication of treatment is performed by the plastic surgeon, but the motivation to operate should be from the patient himself.

The surgery is performed in a day-hospital environment. Care after surgery includes the use of protective bands, analgesics, and periodic returns with the surgeon. There is a need to withdraw from sports activities for 1 month.

Ear Reconstruction

Numerous syndromes and craniofacial alterations have within their clinical picture, structural and functional abnormalities of the external, middle and inner ear.

Alterations in ear shape, size and position can range from simple contour changes such as prominent ears to partial (microtia) or complete ear absence (anotia). In the same way, auditory alterations may occur to a lesser or greater degree.

The formation of the ear begins at the first month of intrauterine life and one of the most frequent deformities is the incomplete development of the ear, called microtia. The ear is originated by the contribution of different facial areas of the embryo and for this reason different clinical presentations may occur.

Regardless the degree of deformity, there is a burden on the patient, especially from a psychological and aesthetic point of view with strong influence on the interpersonal interactions of individuals.

Treatment of microtia is performed with the purpose of reconstructing the ear in all its characteristics of shape, dimension and positioning, generating the best possible symmetry between the two sides.

This type of surgery should be performed when the size of the ear is already close to its final adult size. Depending on the technique, it can be performed from 7 years of age. In any situation, treatment options require a specialized and experienced team.

The most applied techniques are based on the reconstruction of the cartilaginous structure using rib cartilages, coated by the skin of the region or by skin grafts. The indicated age is around 8 years old and this treatment is performed in 2 or 3 steps, the first one being the larger one.

More recently, the replacement of the cartilage framework with a biocompatible synthetic material has been successfully used. This reduces the magnitude of the surgery, since it does not require the removal of the costal cartilages. In addition, the procedure can be performed in a single time and in younger patients.

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