Our Summary

“Lop ear deformity” refers to a common birth defect where the ear doesn’t form properly, affecting about 5% of newborns. There is a surgery to fix this called otoplasty. Over 200 different surgical methods have been used to correct this, most of which involve “weakening” the ear cartilage so it doesn’t go back to its original shape after surgery. Traditional methods, like one called Mustarde’s, involve making incisions (“scoring”) on the back of the ear cartilage and using stitches to hold it in the new shape. However, the natural properties of the cartilage can cause it to fold in the opposite direction of the incisions, which might explain why these methods often see the ear return to its original shape.

This paper discusses a surgical method that involves scoring the front of the ear cartilage instead. We believe this method results in ears that look more natural, with fewer complications and a smaller chance of the ear returning to its original shape in the long-term.

FAQs

  1. What is otoplasty and what is it used for?
  2. How is the anterior scoring otoplasty technique different from other techniques?
  3. What are the benefits of the anterior scoring otoplasty technique?

Doctor’s Tip

A helpful tip a doctor might tell a patient about otoplasty is to follow post-operative care instructions carefully, including wearing any recommended headbands or bandages to support the ears as they heal. Additionally, avoiding activities that could put pressure on the ears, such as sleeping on the side, for a certain period of time can help ensure the best results from the surgery. Regular follow-up appointments with the surgeon are also important to monitor healing progress and address any concerns.

Suitable For

Patients who are typically recommended for otoplasty include those with lop ear deformity, which is the most common head and neck congenital malformation with an estimated incidence of 5% among newborns. Otoplasty is the surgical procedure designed to correct this deformity. This procedure may be recommended for patients who are bothered by the appearance of their ears and desire a more natural shape. Otoplasty may also be recommended for patients who have experienced trauma to the ear or have a congenital malformation that affects the shape of their ears. Additionally, patients with asymmetry or protrusion of the ears may also be candidates for otoplasty.

Timeline

  • Initial consultation: The patient meets with a plastic surgeon to discuss their concerns about their ears and determine if they are a good candidate for otoplasty.
  • Pre-operative preparation: The patient undergoes medical evaluations, discusses the surgical plan with the surgeon, and receives instructions on how to prepare for the procedure.
  • Otoplasty surgery: The patient undergoes the surgical procedure, which typically involves reshaping the ear cartilage and possibly removing excess skin.
  • Post-operative recovery: The patient may experience swelling, bruising, and discomfort in the days following surgery. They will need to wear a headband or bandage around their head to support the ears during the initial healing phase.
  • Follow-up appointments: The patient will have several follow-up appointments with the surgeon to monitor their healing progress and ensure that the ears are healing properly.
  • Long-term results: Over time, the swelling will subside, and the final results of the otoplasty will become apparent. The patient can enjoy their new, improved ear appearance with minimal risk of relapse if the anterior scoring technique was used.

What to Ask Your Doctor

  1. What specific technique will be used for my otoplasty procedure?
  2. What are the potential risks and complications associated with otoplasty?
  3. What is the expected recovery time and post-operative care for otoplasty?
  4. Can you show me before and after photos of previous otoplasty procedures you have performed?
  5. How long do the results of otoplasty typically last?
  6. Are there any non-surgical alternatives to otoplasty that I should consider?
  7. Will I need to wear any special garments or bandages after the procedure?
  8. What type of anesthesia will be used during the otoplasty procedure?
  9. How many otoplasty procedures have you performed in the past?
  10. What can I do to optimize the results of my otoplasty surgery?

Reference

Authors: Morera Serna E, Mellídez Acosta RE, Meléndez García JM, Fanjul García F. Journal: Facial Plast Surg. 2025 Apr;41(2):166-169. doi: 10.1055/a-2448-0708. Epub 2024 Oct 24. PMID: 39447620