Ear Surgery

Ear surgery or otoplasty is a surgical procedure to correct the deformities and defects of external ears resulting from congenital conditions or trauma. The purpose of this surgery is to create an external ear of natural proportions, contour, and appearance to the ears and face. Incisions for otoplasty are usually made behind the ears. Depending upon the deformities, the cartilaginous framework of the ear is reshaped, repositioned or reduced. Correction of even minor deformities can have profound benefits to appearance and self-esteem.

Indications of otoplasty

  • Overly large ears — a rare condition called macrotia
  • Protruding ears occurring on one or both sides in varying degrees — not associated with hearing loss
  • Adult dissatisfaction with previous ear surgery

Ideal candidates for otoplasty in children

  • Preschool age, preferably 5 years old or older
  • Able to communicate their feelings and do not object when surgery is discussed
  • Cooperative and follow instructions well
  • Healthy, without a life-threatening illness or untreated chronic ear infections

Ideal candidates for teen and adults

  • Individuals with a positive outlook and specific goals in mind
  • Healthy individuals without life-threatening illness or medical conditions

Preoperative evaluation before otoplasty

Communication is vital in order to achieve the patient’s goals. During the initial consultation, patients will have the opportunity to discuss their goals and desirable results with the plastic surgeon. The plastic surgeon will work closely with the patients to reach an agreement about the expectations from the surgical procedures involved and their long term benefits.  Every patient is different, therefore a specific treatment regimen is planned to suit an individual’s need.

Preparation for otoplasty

  • Preoperative medical evaluation including blood investigations
  • Avoid certain medications or adjust your current medications
  • Stop smoking or alcohol for about 2-3 weeks prior to the scheduled surgery
  • Avoid taking aspirin and certain anti-inflammatory drugs and herbal supplements as they can increase bleeding and bruises

The risks and safety information on otoplasty

It is important for patients to understand that every surgical procedure has its own complications and down time. However, if a patient is assessed properly before the surgery and postoperative care is given adequately, these risks can be eliminated or reduced. The risks involved in facelift surgery may vary depending upon the nature of the surgical procedure. In general, some of the risks involved are:

Some of the risks of otoplasty include:

  • Bleeding
  • Blood clots
  • Infection
  • Poor wound healing
  • Asymmetry
  • Changes in skin sensation
  • Skin contour irregularities
  • Skin discoloration/swelling
  • Anaesthesia risks
  • Unfavorable scarring
  • Allergy reactions to tape, suture materials, bandages or medication
  • Possibility of revision surgery

Postoperative expectations

Discomfort immediately following ear surgery is normal and can be controlled with pain medication. There may be an itchy feeling under bandages. Compression bandages or garment are usually applied for 5-7 days to the ears to prevent swelling and blood collection. It is essential that these bandages or garment remain intact and are not removed, for any reason. Failure to do so may result in loss of some of the correction and may require a secondary surgery. Stitches behind the ears are usually removed 7-10 days after the surgery. After the surgery, the ears will be permanently positioned closer to the head. The surgical scars are either hidden behind the ear or well hidden within the natural creases of the ear

Postoperative care

  • Follow the postoperative instructions given carefully
  • Head elevation especially when sleeping for 1-2 weeks
  • Take the prescribed medications as instructed
  • Compressive bandage or garment to the ears may be used for 5-7 days
  • Avoid strenuous physical activities for 2-3 weeks

How much will an otoplasty surgery cost?

Cost is always a consideration in elective surgery. The cost for otoplasty surgery can vary widely. Cost may include:

  • Surgeon’s fee
  • Hospital or surgical facility costs
  • Medical tests (blood investigations)
  • Anaesthesia fees
  • Prescriptions for medication
  • Post-surgery garment (garment for the ears)

When otoplasty is performed for trauma or acquired surgical conditions, this procedure is considered as reconstructive surgery and may be covered by insurance. This requires a detailed examination to verify the cause prior authorization from your insurer. Patients are advised to contact their insurance company for further verification well in advance of surgery.  However, when otoplasty is performed for aesthetic reasons or deformities arising from birth, it will not be covered by medical insurance.