Otoplasty is the surgery for correction of ear deformities. They can be anomalies of the growth, acquired deformities by trauma or other diseases. The most common deformity is the "flappy" ear. The surgery of the flappy ear is made to correct the removal of the distance from the head that gives a poor aesthetic aspect and that greatly inconveniences youths and adults.
Genetic factors, or family and racial characteristics have a preponderant role in the establishment of alterations in the form of the ear.
The diagnosis is made by the doctor, and in the cases of flappy ears, a clinical exam is enough for us to reach a conclusion. The deformities are located fundamentally in two points: in the shell (the deep part of the ear) that is very elevated and in the anti-helix (the more protruded part in the middle of the ear) that is not well "drawn."
As in every cosmetic surgery the treatment indication should be left to the patient's own will, that is, the treatment of the aesthetic deformities should only be made by self indication. The plastic surgeon's role is to establish that the patient's desires are real, and what treatment type is more suitable for each case. Although the surgery may be performed in children, the treatment in adult age is also quite common.
In children, the ideal age to perform this surgery is starting from age 6 to 7, (denominated preschool age), the period in which the ear is already totally formed and almost equal to the size of that of an adult. As it has to do with a preschool period, fun is often made of this deformity usually by school friends which brings about psychological problems as well.
Otoplasty approximates the distance between the head and the ear to correct the form and the "drawing."
The surgical treatment is made through an internal cut in the skin behind the ear. The skin is loosened from the cartilage and fastened in the new position with internal stitches. The internal stitches do not need to be removed.
The anesthesia can be local, with sedation, or general. The choice of the anesthesia method, always in common agreement with the anesthetist, will take into account the size of the surgery, the clinical and psychological conditions and the patient's age.
The patient must use a curative, gauzes and bandages for three to five days.
The scar of this surgery is imperceptible, for it is located behind the ear where the furrow is formed and the skull. As the skin area is very thin, the scar tends to be "almost unapparent."
The postoperative cares will vary according to the magnitude of the procedures. There will always be a swelling, larger in the first week that gradually decreases. It is important to emphasize that the cicatrisation alterations and accommodation of the tissue in the new place proceed for some more time. At least three months are necessary to observe the final result of the treatment.
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