Our Summary

This research paper is about a surgical technique to correct “bat ear”, a condition where the ears stick out too much. This condition affects about 5% of the population, and there are many procedures to correct it, but this paper focuses on a method called “helix free otoplasty.” Over 35 months, the researchers used this technique on 31 patients, who were on average 8 years old, for a total of 62 ears. The procedure involves several steps, including removing some skin, separating and reshaping the cartilage of the ear, and stitching it all back together. After the surgery, the researchers kept track of the patients for an average of two years. They found that nearly all the patients and their parents were happy with the results. Only a few minor complications occurred, and no one’s ears went back to sticking out. The procedure was simple, didn’t leave visible scars, and took a short amount of time. Therefore, the researchers suggest that this technique is a good option for correcting bat ear.

FAQs

  1. What is “helix free otoplasty” and how does it correct “bat ear”?
  2. What were the results and complications of the study conducted over 35 months on the helix free otoplasty technique?
  3. Why do the researchers suggest helix free otoplasty as a good option for correcting bat ear?

Doctor’s Tip

One helpful tip a doctor might tell a patient about otoplasty is to follow post-operative care instructions closely to ensure proper healing and optimal results. This may include keeping the incision sites clean and dry, wearing any prescribed bandages or compression garments, avoiding activities that could put strain on the ears, and attending follow-up appointments with your surgeon. By following these instructions, patients can help minimize the risk of complications and achieve the best possible outcome from their otoplasty procedure.

Suitable For

Patients who are typically recommended for otoplasty are those who have prominent ears that stick out too much, also known as “bat ear.” This condition can be present from birth or develop later in life. Otoplasty is often recommended for children and adolescents, as the ears are still growing and can be reshaped more easily. However, adults who are unhappy with the appearance of their ears can also benefit from otoplasty.

In the case of the helix free otoplasty technique discussed in the research paper, the procedure was performed on patients who were on average 8 years old. This suggests that children and younger individuals are often recommended for otoplasty to correct prominent ears. Additionally, patients who have realistic expectations and a desire to improve the appearance of their ears are good candidates for otoplasty.

Overall, otoplasty is a safe and effective procedure for patients who are unhappy with the appearance of their ears. It can improve self-confidence and overall quality of life for individuals with prominent ears.

Timeline

  • Before otoplasty: The patient may have been self-conscious about their protruding ears and may have experienced teasing or bullying from peers. They would have consulted with a plastic surgeon to discuss their options for correcting the issue.

  • Day of surgery: The patient would arrive at the surgical center and undergo general anesthesia. The surgeon would then perform the helix free otoplasty procedure, which involves reshaping the cartilage of the ear and stitching it back in a more aesthetically pleasing position.

  • Immediately after surgery: The patient would be monitored in the recovery room for a few hours before being discharged to go home. They would be given post-operative care instructions and prescribed pain medication to manage any discomfort.

  • First week post-surgery: The patient would need to rest and avoid any strenuous activities. They would experience some swelling and bruising, which would gradually improve over the following weeks.

  • Two weeks post-surgery: The patient would return to the surgeon’s office for a follow-up appointment to assess the healing process. The surgeon would remove any stitches and check for any signs of infection or complications.

  • Two years post-surgery: The researchers followed up with the patients to assess their satisfaction with the results. They found that the vast majority of patients and their parents were happy with the outcome of the surgery, with only minor complications reported.

Overall, otoplasty can have a significant positive impact on a patient’s self-esteem and confidence, providing a long-lasting solution to correct protruding ears.

What to Ask Your Doctor

  1. What is the success rate of the helix free otoplasty procedure in correcting bat ear?
  2. What are the potential risks and complications associated with otoplasty surgery?
  3. How long is the recovery period after otoplasty surgery?
  4. Will there be any visible scarring after the surgery?
  5. What are the alternative treatment options for correcting bat ear?
  6. How many otoplasty surgeries have you performed, and what is your experience with this procedure?
  7. What type of anesthesia will be used during the surgery?
  8. Will I need to follow any special post-operative care instructions?
  9. How long will the results of the otoplasty procedure last?
  10. Are there any restrictions on activities following the surgery?

Reference

Authors: Ahmed M, Alkhalaf H, Ibrahim E. Journal: Asian J Surg. 2019 May;42(5):621-627. doi: 10.1016/j.asjsur.2018.08.005. Epub 2018 Sep 22. PMID: 30253889