Ear surgery - series

Normal anatomy

This image demonstrates normal appearance of the ears in relation to the face.

Indication

Ear surgery may be performed to set disproportionately large or prominent ears closer to the head.

Procedure

Thousands of ear surgeries (otoplasties) are performed successfully each year. The surgery may be done in the surgeon's office-based facility, in an outpatient surgical facility, or in a hospital. The surgery is performed while the patient is awake but pain free (local anesthetic) or deep asleep and pain free (general anesthetic). The procedure usually lasts about two hours, depending on the extent of the correction needed.

The most commonly employed technique is one in which the surgeon makes incisions in the back of the ear and removes skin to expose the ear cartilage. Sutures are used to fold the cartilage to reshape the ear.

Other surgeons choose to forgo sutures in favor of cutting or abrading the cartilage before folding it.

The ear is brought closer to the head by creating a more pronounced fold (called the antihelix) in the central portion of the ear.

Aftercare

The ears are covered with a bulky, moderate pressure dressing following surgery. There is usually some tenderness and discomfort, that is easily controlled by medication. Most patients leave the hospital on the same day, or shortly thereafter.

Within two to four days, the outer pressure dressings are removed but the patient is asked to wear a light head dressing for two to three weeks to promote healing.

Faint scars are concealed in the flexion creases behind the ears; there are no incisions in front of the ears.