AESTHETIC EAR SURGERY

OTOPLASTY

Symmetric ears, pressed close to the head contribute to the harmony of the face, as does a symmetrical nose. Ear deformation is a common aesthetic imperfection, which can easily be noticed even on a newborn child. Innate deformation manifests in an irregular position of the auricles (protruding or lower ears).


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Protruding ears are the most common imperfection. These can be on one or both sides and the intensity of the deformation varies. Parents often wonder what is the most appropriate age for a child to have the operation. Most surgeons agree that the operation should be performed early and before a child starts school. This is a very practical approach to the problem because, on one hand, deformation of the auricle has completely developed and the auricle itself has completed its growth while, on the other hand, the child comes to a new social environment without any obvious abnormality.

The fact that protruding ears can be surgically corrected as early as preschool age is very favorable for children, because it gives them the opportunity to remove a prominent deformation which might become the base of undesirable complex developments during school age. Because of their frankness, straight forwardness and a tendency to tease, children can often sound very cruel. Often you will hear of a child being given a nickname like Dumbo the Elephant, Jug Ears or Propeller due to his/her flappy ears. A sensitive child, at this age, will easily develop a negative physiological complex. The fact that so many adults come to have their physical imperfections corrected when they are older, because their parents did not make it possible for them to do so when they were children, proves that the complex really exists.

Otoplasty is cosmetic surgery that successfully deals with the problem of deformed ears. The operation is painless. It is usually done under local anesthetic but if necessary (as with small children) can be done under general anesthetic. The operation takes an hour. Prior to the operation, precise measurements are taken and lines of correction are drawn on the auricles. The incision is made in the rear of the ear. During the operation the ear cartilage is prepared to create the new shape of the auricles and the skin is also reshaped to match the new form. Since the main incision is made behind the ear, stitches and scars cannot be seen. Complications rarely occur but they can appear as a hamatoma, thicker scar or secondary infection.

After the operation, the auricles are fixed in the desired position. The patient wears a bandage around his/ her head for seven days. On the 7th day the stitches are removed. For the first month after the operation, the patient should avoid all sports and activities that could damage their ears. Adult patients, who undergo the ear surgery, are usually younger people and after successful surgery often do their hair in a way that shows off their ears (crew cuts for men and pony tails for women who used to cover their ears with hair previously).

PRACTICAL INSTRUCTIONS FOR THE PATIENT

  • Blood tests need to be done before the operation
  • The patient needs to stay in surgery 2-3 hours, which is the time necessary for the preparation, operation and a short rest afterwards.
  • The patient is sent to home care afterwards
  • The length of stay in Zagreb is 1 day
  • Those patients who are not from Zagreb can go home as early as the next day and on the 7th day a local surgeon can remove the stitches
  • Sick leave is seven days. After the 7th day, the patient can resume his/ her normal life and professional activities.

 

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