A patient suffering from a congenital defect, injury, or trauma to the ears may feel self-conscious about their appearance. Fortunately, help is available; reconstructive ear surgery (known as reconstructive otoplasty) can correct both cosmetic and medical deformities of the outer ear and restore a patient’s self-confidence, in addition to improving his or her hearing.
Congenital Defects
Reconstructive otoplasty can be a boon to people suffering from microtia, a birth defect that results in undeveloped ears; the condition can be either unilateral, affecting one ear or bilateral, affecting both. Because the ears are underdeveloped, hearing loss is often associated with this condition. Reconstruction of the ear canals or surgically implanted hearing aids can drastically improve hearing.
Stages
Either local or general anesthesia will be given during your otoplasty procedure, depending on the complexity of the surgery and your doctor’s recommendation, and can be performed in a hospital or outpatient surgical facility.
The procedure takes about two hours on average. Incisions are typically made on the back of the ears or within the inner creases where scars will be less visible; your surgeon then removes excess cartilage and skin before folding the cartilage into position and securing it with stitches. Care is taken to avoid overcorrection, which can result in a “pinned back” look.
Following surgery, your ears will be covered with bandages for a few days. There will be some pain and discomfort, which can be treated with over-the-counter or prescription medication per your doctor’s discretion. You’ll be advised to keep pressure off your ears. When the bandages come off, your ears will probably be swollen and red.
It’s usually recommended you wear a loose headband at night for a few weeks to protect your ears when you roll over in bed. Otoplasty offers immediate results in most cases.
Trauma
Those with damage to the ears resulting from an accident or injury (such as a burn, laceration or torn piercing) are often viable candidates for reconstructive ear surgery. The type of surgery, and its success, depends on the severity of the trauma and may range from a simple outpatient procedure to a total ear reconstruction that takes months. Your best bet is to seek immediate medical attention following any type of trauma to the ears.
Individuals who have suffered trauma to the ears, and those born with defects, can often benefit from reconstructive ear surgery. Known as reconstructive otoplasty, this procedure is used to correct medical and cosmetic deformities of the outer ears, helping to restore self-confidence and improve hearing ability.
Procedures
Reconstructive ear surgery is most commonly used to treat defects related to microtia, trauma, cancer and prominent ears. There are three different types of reconstructive ear procedures, depending on the defect being treated.
Microtia is a birth defect that causes incomplete development of the ears, and affects approximately one in 6,000 babies. It may affect one or both ears, and is often associated with hearing loss. Microtia repair involves the removal of healthy cartilage, usually from a patient’s rib cage, and constructing a new ear using that tissue. If a new ear canal is needed, one can be created from cartilage, as well.
A similar technique is employed to treat ear defects that result from trauma or cancer surgery. Injuries from burns, lacerations, torn piercings and other accidents vary in severity; surgery may take the form of a relatively easy outpatient procedure or a total ear reconstruction. In some cases, prostheses may be needed to enhance the appearance of the ears.
Prominent ears are those that protrude abnormally. One or both ears may be affected. The condition is often inherited. A procedure called an otoplasty is used to improve the shape, position or proportion of the ears, and can be used to correct defects such as prominent or unusually large ears. This surgery involves an incision behind the ears and the removal of skin and cartilage to reshape the ears. Sutures are used to “pin” them into place, if necessary.
Earlobe repair from a piercing requires tissue recruited from other areas of the earlobe in what is known as a local flap reconstruction. The procedure is generally performed in an outpatient setting using local anesthesia. Sutures to close the skin should remain in place for several days afterward before being removed. Some swelling is common and to be expected, but that should go away after a few days.
Call PDX ENT at (503) 222-3638 for more information or to schedule an appointment.
