Otoplasty: Here Are Some Possible Complications

A child or an adult with oversized or protruding ears may develop self esteem issues

. Not only are they unhappy with the reflection they see looking back from the mirror, but they are often teased and ridiculed about the unfortunate size and positioning of their ears. Luckily, the surgical procedure of otoplasty, which is the medical name for cosmetic ear surgery, can reduce both the size and protrusion. In doing so, this operation can give the recipient a boost in self esteem, as well.

A plastic surgeon will be the physician of choice to perform this type of surgery. The first thing that needs to be done is to place an incision behind each ear. This will help to weaken the cartilage (the elastic yet firm connective tissue present within the ear) which is necessary to have a successful result. Through the incision's opening, the surgeon will fold the cartilage into the desired position and then stitch into place.

At times a segment of the cartilage, as well as excess skin, will need to be removed. Both ears will be altered in order to have as much symmetry as possible. Sometimes one will need more correction than the other. The physician will be focused on obtaining a symmetrical result.

This procedure is usually performed on an outpatient basis under either a general or local anesthetic along with a sedative. It will take from one half hour to one hour to perform and will result in some bruising, swelling and pain which should subside within a few weeks. A compression headband will need to be worn around the head in order to support the healing area.

The healing is fairly rapid, however, and the patient is expected to resume normal activities within five weeks. They may return to work or school in one week. Sun protection in the form of either a high SPF sunscreen or sunhat is important for at least one year.

Some complications that may occur include an adverse reaction to the anesthetic, an infection at the wound site, excessive bleeding or a problem with a stitch working its way out of the ear and needing to be removed. In rare occasions, an ear may revert back to its original shape after surgery and the procedure will need to be repeated.

Immediately after the otoplasty surgery, the smaller sized ears and the improved positioning will be readily apparent. The patient's facial features and head shape will appear more attractive and in proportion. Confidence will soar and begin to spill into other areas of the patient's life.

by: Abigail Aaronson

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