Our Summary

This research paper is about a new surgical procedure to correct a common ear deformity called prominauris, which makes the ears stick out more than usual. The researchers looked at medical records of 23 patients who had this surgery between 2006 and 2016. The technique used is a combination of different procedures that allow surgeons to shape the cartilage in the ear more precisely.

Before and after the surgery, measurements were taken of the distance between the rim of the ear and the mastoid bone behind the ear. The results showed that the surgery significantly reduced this distance, meaning the ears were closer to the head after surgery.

The procedure was also found to be quite safe. One patient needed a second surgery, two had irritation at the site of the stitches, and one developed a blood clot. However, these complications were relatively minor.

In conclusion, this new technique for ear surgery is effective and safe, with a low rate of complications and a high degree of symmetry in the ears after surgery. The technique also allows surgeons to make multiple adjustments during the surgery to achieve the best results.

FAQs

  1. What is the new surgical procedure discussed in the research paper for correcting prominauris?
  2. How does the new surgical technique for ear surgery affect the distance between the rim of the ear and the mastoid bone?
  3. What were the reported complications from the new technique for ear surgery?

Doctor’s Tip

A doctor might tell a patient considering otoplasty to carefully follow all post-operative instructions, including wearing any recommended headbands or bandages to help support the ears as they heal. This can help ensure the best possible outcome and minimize the risk of complications. Additionally, it is important to attend all follow-up appointments with the surgeon to monitor healing progress and address any concerns promptly.

Suitable For

Patients who are typically recommended for otoplasty, or ear surgery, include individuals with prominent ears, misshapen ears, or ears that are asymmetrical. Otoplasty is commonly performed on children as young as five years old, as well as adults who are unhappy with the appearance of their ears. Prominent ears, also known as protruding ears, can have a significant impact on a person’s self-esteem and confidence, making otoplasty a popular choice for individuals looking to improve the appearance of their ears.

Timeline

Before otoplasty:

  1. Patient consultation with a plastic surgeon to discuss the desired changes to the ears and to determine if they are a suitable candidate for the surgery.
  2. Pre-operative assessments such as physical examination, medical history review, and possibly imaging tests to plan the surgery.
  3. Discussion of the surgical technique, risks, and expected outcomes with the patient.
  4. Consent for the surgery is obtained from the patient.
  5. The surgery is performed under local or general anesthesia, depending on the patient and the extent of the procedure.
  6. The surgery involves reshaping the cartilage in the ear to correct the deformity and bring the ears closer to the head.
  7. The patient is monitored post-operatively for any complications and discomfort.

After otoplasty:

  1. The patient is advised on post-operative care, including wound care, medication management, and follow-up appointments.
  2. The patient may experience some discomfort, swelling, and bruising in the ears following the surgery.
  3. The patient is typically able to return to normal activities within a few days to a week, depending on the extent of the surgery.
  4. Follow-up appointments are scheduled to monitor the healing process and assess the results of the surgery.
  5. The patient may need to wear a headband or bandage around the ears for a period of time to help support the ears in their new position.
  6. Over time, the swelling and bruising will decrease, and the final results of the surgery will become more apparent.
  7. The patient can enjoy the improved appearance of their ears and increased self-confidence as a result of the otoplasty procedure.

What to Ask Your Doctor

  1. What specific techniques will be used during the otoplasty procedure?

  2. How long is the recovery period expected to be, and what can I do to aid in the healing process?

  3. What are the potential risks and complications associated with otoplasty surgery?

  4. Will there be scarring after the surgery, and if so, how visible will it be?

  5. How soon after the surgery can I expect to see the final results of the procedure?

  6. Will I need to wear any special bandages or dressings after the surgery, and for how long?

  7. Are there any specific post-operative care instructions I should be aware of?

  8. How many otoplasty procedures have you performed, and what is your success rate with this surgery?

  9. Can you provide me with before and after photos of previous patients who have undergone otoplasty with similar ear deformities?

  10. Are there any alternative treatments or procedures that could be considered instead of otoplasty for my specific case?

Reference

Authors: Markey J, Mace J, Anderson Y, Wang TD. Journal: JAMA Facial Plast Surg. 2018 Jan 1;20(1):57-62. doi: 10.1001/jamafacial.2017.1139. PMID: 29167864