Protruding ears are a common congenital characteristic. They may be prominent on one or both sides and are most often related to the shape of the cartilage and underdeveloped folds of the ear. They do not affect hearing, but for some people they are an aesthetic or emotional burden.
Surgical correction of the position and shape of the ears is called otoplasty. The decision to undergo the procedure is always made after an examination and a consultation with a surgeon.
Who is the procedure for?
Otoplasty can be performed on adults and children when the ear is sufficiently developed and the child understands the procedure and wants it themselves. With children, it is especially important that the decision not be made solely because of pressure from the surroundings.
The procedure can correct protruding ears, marked asymmetry, deformity after an injury, or cartilage changes associated with some sports.
What is assessed during the examination?
- the shape, size, and position of both ears
- the development of the cartilage folds and the distance of the ear from the head
- facial symmetry and realistic expectations of the procedure
- general health, medications, and previous operations
What does otoplasty involve?
The surgeon usually reaches the cartilage through an incision behind the ear, then reshapes it and secures it in the desired position. The scar is therefore usually hidden in the natural crease. The type of anesthesia depends on the patient's age, the extent of the procedure, and the surgeon's assessment.
The goal is a natural and harmonious position of the ears. Complete perfection and absolute symmetry are not realistic expectations because the two sides of the body are not completely identical even before the procedure.
Recovery
Swelling, tenderness, and occasional bruising are expected after the procedure. A bandage or special headband protects the ears according to the surgeon's instructions. Pressure on the ears, sleeping on your side, and activities that could cause an impact should be avoided until the doctor allows a return to normal activities.
Follow-up visits monitor healing and provide precise instructions about wound care, washing the hair, wearing the headband, and returning to sports.
Possible risks
Like any surgical procedure, otoplasty carries the possibility of bleeding, infection, an unfavorable scar, a temporary change in sensation, asymmetry, or partial movement of the cartilage back toward its original position. Before surgery, the surgeon will explain the individual risks and the expected result.
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