Otoplasty or plastic ears - surgery to correct the shape of the ears.
There are different forms of deformation ears, about which patients often seek the help of a plastic surgeon. The main problem - the complete absence of the pinna or its congenital hypoplasia, as well as a variety of congenital malformations of the ear, resulting in an aesthetically ugly form ears. Patients often decide to make otoplasty after traumatic defects of the ear, as well as the excessive lag of the ear from the head (droopy ears).
Indications for otoplasty
The most frequently decide to otoplasty, reviews, patients with droopy ears. The causes droopy ears are
- Excessive depth of the bowl of the ear leading to the ear canal.
- Congenital abnormal development or underdevelopment of the antihelix of the ear. This pinna looks flat and strongly separated from the head.
- Earlobes can also be at a distance from the head.
The patient may have only one of the above problems, and possibly the presence of all three simultaneously. Otoplasty, reviews, helps to correct these defects by means of a single operation.
The goal is to move the otoplasty ear closer to the head, giving it a more aesthetic position and in the restoration of the natural topography of the ear. Unfortunately, to give both ears full symmetry is impossible. And even harder to achieve symmetry, if the patient has only one ear sticking out. Therefore, even if one ear droopy ears undergo operations, typically, both.
Plan of operations must be agreed with the patient, taking into account all of its wishes regarding the form of the ears after otoplasty and extent of equidistance from the head. The operation can be done at any age, even in school. But as a rule, parents of young children do not have to rush to surgery until the child does not want to correct the shape of the ears. In this case, the operation will not cause a little patient psychological problems. Make otoplasty possible using local anesthesia without causing pain. Children and some emotionally labile patients it is advisable to make otoplasty under general anesthesia in order to avoid excessive emotional stress.
Preparations for the otoplasty
Before you do the surgery, the patient must undergo the standard medical examination no more than two weeks prior to surgery. The volume of the survey depends on the kind of anesthesia will be used (general or local).
Two weeks before surgery and after a week, it is desirable that the admission of any means, reducing blood clotting. In the evening just before the operation the patient should wash your hair with shampoo. If the operation will use general anesthesia, then six hours before the operation can not eat and drink. Before the operation the patient is photographed. This is done so that the patient can compare your ears after otoplasty before her.
The course operations
Behind the ear incision is made in the ear itself, a little backing from the BTE folds. The length of incision depends on the surgeon and method of operation of volume change. Then the ear cartilage is treated to change its shape. Reduces the depth of the ear is formed antihelix, made pressing lobes. All of these manipulations may be performed simultaneously or separately - this depends on the causes droopy ears. During the surgical otoplasty use the following techniques: removal or excision of fragments of cartilage, cartilage incisions, stitches on the cartilage. At the end of changing the shape of the ears of the physician comparisons auricles and, if necessary, produces an additional correction to achieve symmetry.
At the end of the operation the incision is closed BTE nonabsorbable suture and bandage over his ears after otoplasty.
The postoperative period
The bandage is removed after otoplasty only after three days. On the first day after otoplasty bandage changes. The first few days after surgery, the patient may experience severe pain, which are removed with the help of analgesics (ketanov). The first five days after the operation the patient is prescribed antibiotics. Ears after otoplasty look swollen and cyanotic for about two weeks. After this time, are hematoma, swelling of the main falls in about two months. For two months after otoplasty observed reduced sensitivity ears. Up to three weeks after surgery is recommended for the night to wear a bandage over his ears, so that during sleep do not accidentally damage them. Stitches are usually behind the ears removed for 10-14 hours.
For three weeks after surgery is not recommended to excessive physical activity. For two months after the surgery is not recommended to expose the ears to ultraviolet radiation. The final result of otoplasty can be seen after about six months.