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Prominent ears / Protuberant ears

otoplasty picProminent ears are recognized as one of the most common congenital ear anomalies. Their degree of prominence is quite variable

Children with prominent ears may be teased prompting surgical correction.

This procedure is most often performed on children between the ages of four and fourteen – commonly in children prior to entering school.

The features responsible for prominent ears may include an incompletely folded or developed anti-helical fold, an excessively deep concha or a combination of both.

Procedure:

The procedure is performed via an incision placed behind the ear. The surgical techniques for the correction of prominent ears can be grouped into operations that involve:

  • molding the ear with sutures
  • molding the ear with scoring or sculpting of cartilage
  • setting back the prominent concha
  • a combination of any of the above.

Pre-operative evaluation of the prominent ears will determine which techniques to employ to achieve a natural and permanent result

Length:

Approximately two hours.

Anesthesia:

  • Young children: usually general anesthesia.
  • Older children or adults: commonly performed under local anaesthetic with or without sedation.

Possible Side Effects:

Temporary throbbing, aching, swelling, redness and/or numbness.

Risks:

  • Infection Blood clots that may need to be drained.
  • Asymmetrical ears or artificial-looking ears
  • Recurrence of the protrusion requiring repeat surgery.
  • Excessive scarring

Recovery:

  • Generally patients will return to school or work within five to seven days
  • Strenuous activity may be commenced within 3-4 weeks
  • Contact sports – approximately 6 weeks.

Results:

The results of this procedure are usually permanent.

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