Facial Aesthetics
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Op. Dr. Şükrü İşler
Ear aesthetic surgery is performed to correct congenital or subsequent deformities in the ear. Deformities such as crumpled paper and drooping of the ear, the problem of extra cartilage protrusions around the ear, or the loss of all or part of the ear as a result of an accident may occur. The most common ear deformity in the society is prominent ear deformation.
Extremely large and open ears when viewed from the front are known as prominent ears, and this situation visually disturbs people of all ages. Men or women want to have prominent ear aesthetic surgery because of this problem. There may even be people who do not collect their hair due to the prominent ear appearance. This is a very disturbing situation.
Although the development of the auricle is completed at the age of 10, it is largely completed at the age of 4-5 years.
There is no harm in performing prominent ear surgery in any period of life, but since this problem can cause psychological problems, especially in children at school age, due to environmental factors, otoplasty operations are also frequently performed on school-age children.
The auricle can be shaped with bandages or molds during the first six weeks in the newborn period. For this reason, taping is recommended when some other visual problems such as prominent ear or folding of the auricle are detected at birth. This method, which has a chance of success in the early period, has a very low chance of success later on.
For single or bilateral otoplasty operations, general anesthesia is always preferred in young children, and in older children and adults, the operation can be performed using local anesthesia or sedatives (sedation).
There are many different techniques and approaches defined for otoplasty surgery. Some of these are applied to shape the cartilages by using sutures, some to weaken the cartilages to facilitate their shaping, and some to partially remove the cartilages.
While it is more preferred to shape the auricle with stitches, especially at early ages when the cartilages are softer, other techniques may need to be used in later ages. In cases where the problem is caused by the advanced development of the conchal cartilage, some cartilage usually needs to be removed.
There is no serious pain complaint after the surgery, and simple painkillers are usually sufficient when necessary.
At the end of the operation, the bandage applied on the treated ears is changed several times during the first week according to the need and then removed. If the sutures that need to be removed during the surgery are used, they are also removed during the control in the first week.
It is recommended that patients use a bandage or headband to keep the ears in the proper position while lying down for the first two weeks, followed by the first month.
Although tissue healing is usually completed in two months after surgery, the auricle should be protected from trauma for six months, especially in surgeries where the ear is shaped with stitches.