Correction of the shape and size of the ears (otoplasty)

December 13, 2011

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Otoplasty   (from the Greek othos Ie ear) - a plastic surgery on the ears. Most often refers to change in otoplasty of protruding ears. In the case of a normal ear the angle between the head and the ear is approximately 30 degrees. A protruding ear may be with the head angle to 90 degrees. Typically, the width of the ear is approximately 60% of its height, at a height of 60 mm.

The main goal of otoplasty is the change in position relative to the ear or head shape correction sinks to achieve its proportionality and improve the appearance. Many children suffer lop-eared Which leads to the fact that peers are starting to make fun of the lack of them. Although it is believed that the protruding ears are usually people intellectual development and creative, they often violate the appearance of man, which can lead to the development of stress .

Indications and contraindications for otoplasty

Indications for otoplasty:

• droopy ears ;
• makrotiya   and microtia ;
• misshapen or disproportionate ears (flattened ears, a pointed shape of the ears);
• ingrown ears, thick ears;
• the restoration of the ear lobe or torn.

It is best to carry out the operation in children up to 6 years, when the growth of the ear is completed before the start of school life in order to avoid possible ridicule classmates.

However, to conduct otoplasty there are contraindications. The main contraindications to the otoplasty decompensated diabetes , Violations blood clotting Diseases of internal organs, including chronic and infectious diseases, as well as certain psychiatric and neurotic disorders .

Indications for otoplasty at a droopy ears are the most common. Treatment of surgical techniques was conducted back in the 1840s.

The main objective is the otoplasty Correction protrusion top of the ear. The main methods of plastic ears are a reduction in its size, removing the skin behind the ear ( Method mustard ), As well as the weakening of the cartilage antihelix and giving it form the folds.

Methods perform otoplasty

The best and safest method is otoplasty Method mustard , Which removes the skin behind the ear cartilage overlap seams to give it the desired shape. Sometimes the surgical treatment doctors use flapping ears Furnas method Under which a weakening of the cartilage and the imposition of specific joints that have pulled back shell. In this type of otoplasty cartilage of the ear often gets into the ear canal, which requires further conduct resection of cartilage .

Typically otoplasty performed under local anesthesia   or general anesthesia And last for 1-2 hours. During the operation incision is made on the back of the ear cartilage thins applying incisions, then fixed in the new position. Then applied to the skin and joints compression cotton-gauze bandage. Due to the location of the scar in the natural fold of the back of the ear, they are not visible.

In the case of the operation to restore the ear cartilage is conducted using plastic cartilaginous tissues taken from the ribs or local tissue. The stages of this type of otoplasty consist of manufacturing and flat cartilage in the skin pocket, and then within 4 months are restoring the ear lobe and the lifting of the ear, and in the end form a deepening of the ear. Depending on the condition of the ear correction steps can be combined.

Operations to reduce the size of the ear was performed by removing a measured geometrically ear cartilage.

Typically, for this type of operation, unless there are contraindications to the otoplasty, you need one day in the hospital under the supervision of doctors, and the sutures are removed about a week. After the operation another 2 weeks are required to wear a soft bandage for fixation of cartilage (soaked ointment antibiotic), and an elastic bandage on his ear are still within 1 month. Swelling and bruising   usually subside in 3-5 days. During this period, you can not engage in heavy physical exercise and activities that might cause injury ears.

Among the complications of otoplasty highlighted the inadequate correction, which requires a new transaction, and hypertrophy of scar tissue .