The prominent ear or Loop ear is the most common alteration that affects the pinna. It can compromise different parts of the structure of the ear like the helix or the antihelix, or be too open, also, it can be affected only one side or both.
The alterations can be from congenital origin, generally the very open ones, or from acquired origin (traumatic).
Otoplasty is a surgery performed to reposition the ears into a more functional position, closer to the head, or to reduce the size of large ears. It is designed to give the ear a more natural and anatomical appearance. Each case has its characteristics, so it is important to make a correct evaluation to apply the precise surgical technique.
Indications:
- Improving the aesthetics of the ears
- Repositioning the ears closer to the head
- Reducing the size (of the ear)
- Redefining the helix
- Redefining the antihelix
- Improving the atrial lobe.
- It can be done on children beginning at 6 years old.
Procedure:
Under local anesthesia, the approach is performed through the retroauricular fold, therefore no visible evidence is left. The atrial cartilage is exposed and sculpted, making the necessary corrections of the antihelix, helix, upper pole, lobe. Internal sutures can be used to maintain the result and in some cases, it is necessary to remove a small portion of cartilage when it is excessive. The patient is instructed to use a very soft compression elastic band for a few days to avoid opening the ear due to inadvertent carelessness.
Duration of the procedure: 1-2 hours.
Anesthesia: Local, or intravenous sedation.
Hospitalization: Ambulatory.
Recovery time: 7 days.