Our Summary

This study presents a new method to perform ear surgery, specifically for ears that stick out too much - a condition that often leads to an operation called otoplasty. The new technique uses special stitches to reshape the ear without removing any cartilage, which is the firm but flexible tissue that gives the ear its shape. This is beneficial because it minimizes the chance of complications and can be reversed if necessary.

In traditional methods, there could be permanent changes to the ear’s natural shape, irregularities, or even excessive correction that could make the ear look unnatural. These methods can also lead to unsatisfactory results, scars, and anatomical deformities.

The new technique was successfully used on 91 ears in 2020 and 2021, with only one ear needing a follow-up procedure. It demonstrated low rates of complications or recurrences, making it a fast and safe method for correcting protruding ears while also producing natural-looking results.

FAQs

  1. What is the new method for performing otoplasty?
  2. What are the advantages of using this new technique for otoplasty?
  3. How successful was the new otoplasty technique in 2020 and 2021?

Doctor’s Tip

One helpful tip a doctor might tell a patient about otoplasty is to carefully follow post-operative care instructions to ensure proper healing and optimal results. This may include wearing a protective headband or bandage over the ears, avoiding strenuous activities that could put pressure on the ears, and keeping the surgical site clean and dry. Additionally, attending follow-up appointments with the surgeon to monitor healing progress and address any concerns is important for a successful outcome.

Suitable For

Patients who are typically recommended otoplasty are those with protruding ears or ears that stick out too much. This can be a source of self-consciousness or bullying for some individuals, especially children. Otoplasty is often performed on children as young as five years old, as well as adults who are unhappy with the appearance of their ears. It is important for patients to have realistic expectations and understand the risks and benefits of the procedure before undergoing otoplasty.

Timeline

Before otoplasty:

  1. Consultation with a plastic surgeon to discuss goals, expectations, and potential risks.
  2. Pre-operative assessment to determine candidacy for surgery and overall health status.
  3. Decision-making process on the specific technique to be used and the desired outcome.
  4. Pre-operative instructions such as avoiding certain medications, quitting smoking, and fasting before surgery.

After otoplasty:

  1. Recovery period with post-operative care instructions provided by the surgeon.
  2. Swelling, bruising, and discomfort in the treated area that gradually subsides over time.
  3. Follow-up appointments with the surgeon to monitor healing progress and address any concerns.
  4. Final results visible within a few weeks to a few months after surgery, with the ear achieving a more natural appearance and improved symmetry.

What to Ask Your Doctor

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

  2. How many otoplasty procedures have you performed, and what is your success rate?

  3. Can you show me before and after photos of previous otoplasty patients you have treated?

  4. How long is the recovery period after otoplasty, and what can I expect in terms of pain and discomfort?

  5. Will there be any visible scarring after the procedure, and if so, how can it be minimized?

  6. What type of anesthesia will be used during the surgery, and are there any potential side effects?

  7. How long will the results of otoplasty last, and are there any factors that could affect the outcome?

  8. Are there any non-surgical alternatives to otoplasty that I could consider?

  9. Will I need to follow any specific post-operative care instructions, such as wearing a compression garment or avoiding certain activities?

  10. What is the cost of otoplasty, and will it be covered by my insurance?

Reference

Authors: Benkler M, Weiss N, Egozi D, Dolgunin L, Kouniavski E. Journal: Plast Reconstr Surg. 2023 Oct 1;152(4):689e-692e. doi: 10.1097/PRS.0000000000010401. Epub 2023 Mar 14. PMID: 36912913