Our Summary

This research paper looks back on 30 years of surgical procedures for correcting various ear deformities. Reconstructing the ear, especially in cases of complicated malformations, is one of the most difficult surgeries to learn and perform accurately. It requires careful analysis of the specific issue and the skin’s capacity to recover, and the ability to skillfully shape a 3D structure from rib cartilage. While minor ear anomalies can be handled by any plastic surgeon, more complex cases require a deep understanding of ear surgery techniques. The study does not consider purely cosmetic issues like prominent ears. It includes a review of 2500 cases of microtia, a condition where the ear is underdeveloped.

FAQs

  1. What is otoplasty and what does it involve?
  2. How many cases of auricular reconstruction have been retrospectively analysed in the study?
  3. What is the level of expertise required for a plastic surgeon to handle small ear anomalies?

Doctor’s Tip

A 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 supportive headband or bandage to protect the ears, avoiding activities that could put strain on the ears, and keeping the surgical site clean and dry. It is also important to attend follow-up appointments to monitor progress and address any concerns.

Suitable For

Patients who are typically recommended for otoplasty include those with prominent ears, also known as bat ears, cup ears, or Stahl’s ear. Otoplasty is also recommended for patients with congenital ear malformations such as microtia, Goldenhar syndrome, or other ear abnormalities. Additionally, otoplasty may be recommended for patients who have experienced trauma to the ear or who are seeking cosmetic enhancement of their ear shape. It is important for patients considering otoplasty to consult with a plastic surgeon who is experienced in ear surgery and can provide a detailed analysis of the anomaly and potential outcomes of the procedure.

Timeline

Before otoplasty:

  • Patient consults with a plastic surgeon to discuss concerns about the shape or position of their ears
  • Surgeon evaluates the patient’s ears and discusses the potential outcomes of otoplasty
  • Patient undergoes pre-operative tests and evaluations to ensure they are a suitable candidate for surgery
  • Surgery date is scheduled and patient receives instructions on how to prepare for the procedure

After otoplasty:

  • Patient undergoes otoplasty surgery, which typically lasts 1-2 hours and may involve reshaping the cartilage of the ear or repositioning it closer to the head
  • Patient is monitored in a recovery room before being discharged home the same day
  • Patient may experience swelling, bruising, and discomfort in the days following surgery
  • Follow-up appointments are scheduled to monitor healing and remove any sutures or dressings
  • Patient can expect to see final results of otoplasty within a few weeks to months, depending on the extent of the procedure.

What to Ask Your Doctor

  • What are the potential risks and complications associated with otoplasty?
  • What kind of results can I expect from the surgery?
  • How long is the recovery process and what kind of aftercare will be required?
  • Are there any alternative treatments or procedures that could achieve similar results?
  • How many otoplasty procedures have you performed and what is your success rate?
  • Can you show me before and after photos of previous patients who have undergone otoplasty?
  • Will the results of otoplasty be permanent?
  • How much pain or discomfort can I expect during and after the procedure?
  • Will there be any scarring or visible signs of the surgery?
  • What kind of anesthesia will be used during the procedure?

Reference

Authors: Firmin F, Marchac A. Journal: Ann Chir Plast Esthet. 2016 Oct;61(5):420-428. doi: 10.1016/j.anplas.2016.07.018. Epub 2016 Sep 7. PMID: 27614721