The prominent ear is a group of ear deformities increasing the external ear prominence to such a degree that is over-concerned. These may include cup-ear (in the shape of a cup),prominent ear, valgus deformity (insufficiently folded) or macrotia (big ears). These are developmental and sometimes congenital and usually, have genetical roots.
The main concern of the patient is social especially we see children who are subjected to mocking and insulted by others because of their ears (children can be cruel sometimes). Therefore we prefer to perform prominent ear correction before or during school age. Developmentally it is safe to operate children for ear prominency after 6 or 8 years of age because of social implications.
The procedure is also known as otoplasty. Generally, we restore ear position in relation to head by putting sutures to ear cartilage or to the membrane of the ear cartilage. The suture is placed in order to fold the cartilage on itself or increase the proximity of the ear to the head. The incisions will stay on the back of the ear which is a hidden site.
If you have a rational insight into the deformity of your or your child's ear prominence. While concerning the deformity, if you can tell what kind of improvement you want rationally; you or your child is a good candidate.
Medical history and drug usage must be told to the doctor.
The results are satisfactory in the majority of cases. But the patient must know that normal ear must have some angulation and space between head. Some patients want their ears to be stuck to the head. This is anatomically not right.
Haematoma formation and infection after the surgery may lead to hard-to-correct results if left untreated. By knowing the risk and thorough postoperative care will eliminate secondary deformities.
Keloid formation on the incision is a rare but a fearful risk which can not be eliminated.
The patient stays one night in the hospital if the surgery is performed under general anesthesia. Well cooperated children and adults are generally operated using local anesthesia.
After surgery, the patient will have dressings. Which will be replaced on the first day and remade for two more days. After that, head bands will be used in order to support the repair. It is important to use the headband for 15 days (day and night) postoperatively and 1 month postoperatively (while sleeping).