OTOPLASTY (Ear Surgery)

Ear surgery, or otoplasty, is usually done to set prominent ears back closer to the head or to reduce the size of large ears.

For the most part, the operation is done on children between the ages of four and 14. Ears are almost fully grown by age four, and the earlier the surgery, the less teasing and ridicule the child will have to endure. Ear surgery on adults is also possible, and there are generally no additional risks associated with ear surgery on an older patient.

If you're considering ear surgery for yourself or your child, this information will give you a basic understanding of the procedure-when it can help, how it's performed, and what results you can expect. It can't answer all of your questions, since a lot depends on your individual circumstances. Please be sure to ask Dr. Stewart if there is anything you don't understand about the procedure.

Consultation

Dr. Stewart will examine your ears and take photographs for your medical record. You may be asked to look in a mirror and point out exactly what you would like to see improved. This will help Dr. Stewart understand your expectations and determine whether they can realistically be achieved.

One of several surgical techniques may be suggested to improve the appearance of your ears. The particular technique that Dr. Stewart recommends will depend on may factors such as the amount of excess cartilage and skin, the position of your ears, and the shape of your face.

Return to Work

Adults and children are usually up and around within a few hours of surgery. Any activity in which the ear might be bent should be avoided for a month or so. Most adults can go back to work about five days after surgery. Children can go back to school after seven days or so, if they're careful about playground activity. You may want to ask your child's teacher to keep an eye on the child for a few weeks.

Information provided by All Materials 2003 ASPS/PSEF

The Procedure

Ear surgery usually takes about two to three hours, although complicated procedures may take longer. The technique will depend on the problem.

With one of the more common techniques, the Dr. Stewart makes a small incision in the back of the ear to expose the ear cartilage. He will then sculpt the cartilage and bend it back toward the head. Non-removable stitches may be used to help maintain the new shape. Occasionally, he will remove a larger piece of cartilage to provide a more natural-looking fold when the surgery is complete.

Another technique involves a similar incision in the back of the ear. Skin is removed and stitches are used to fold the cartilage back on itself to reshape the ear without removing cartilage.

In most cases, ear surgery will leave a faint scar in the back of the ear that will fade with time. Even when only one ear appears to protrude, surgery is usually performed on both ears for a better balance

Understanding Risks

Fortunately, significant complications from aesthetic ear surgery are infrequent. Every year, many thousands of people undergo successful surgery, experience no major problems and are pleased with the results.

I understand that every surgical procedure has risks, but how will I learn more so that I can make an informed decision?

The subject of risks and potential complications of surgery is best discussed on a personal basis between you and Dr. Stewart, or with a staff member.

Some of the potential complications that may be discussed with you include hematoma (an accumulation of blood under the skin that may require removal), infection and reactions to anesthesia. There is a possibility of a temporary decrease in sensation of the ear or impaired hearing.