• Ears pinning or Otoplasty

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Ear Pinning or Otoplasty

Introduction

Anyone can suffer from protuberant or bat ears. Ear pinning or otoplasty is a surgical operation that is done to pin back bat ears to accomplish an improved appearance. A protuberant ear can be caused by an insufficient antihelical fold or a deep concha. An antihelical fold will be created depending on the problem. Most operations will include both the conchal setback and the antihelical fold creation. The two operations can be done concurrently.

Otoplasty and ear pinning can be performed on anyone at any age. Children should be allowed to voice their concerns about their dissatisfaction with their ear size and shape, to get the operation early in their childhood. The traditional approach to performing the surgery on children has been at the age of 6- 7 years. However, times have changed and it’s now possible to do the operation for kids as young as 4 years old. This is mostly done to prevent any social and peer group pressure as a child grows.

More recently, many adults have started doing the surgery. The aim is to achieve a more balanced look. Still, one cannot get ideal symmetry as there are unique differences in the ear tissues. A lot of patients are pleased with the results and enhanced appearance.

Pre-Operation
  • Patients should avoid smoking before the surgery to prevent complications.
  • Large doses of vitamin E should not be consumed. The patient shouldn’t take any inflammatory drugs such as arnica tablets, aspirin or other analgesics. These medicines and substances promote bleeding and might cause complications during the surgery.
  • Patients should seek to get the surgeons advice and consultation before the operation.
  • Get a 1-2 day sick leave from work.
The Procedure

This process requires the use of local anaesthesia. It is injected in the incisions that the surgeon makes behind the ear. The surgeon removes the unwanted skin to achieve the desired results. In other cases, the cartilage will be treated and shaped into the form the patient desires. The cartilage is then pinned back by using permanent sutures. This procedure takes 45 minutes.

Post Operation
  1.  How to take care of the incision
  • Patients can use oral medication to control the little pain caused by surgery.
  • Bandages are often removed a few days after surgery but can be replaced with a light head dressing.
  • Some slight bruising around the region might occur but should disappear after 1-2 weeks.
  • Some temporary swelling may occur, but it can be prevented by elevating the head when reclining.
  • The doctor may advise one to sleep on a soft pillow without hurting the ears
  • You can shampoo your hair 6-8 days after the surgery
  • After some time, the scars from the incisions begin to fade out and become almost inconspicuous within the ears creases.
  1. How to take care yourself
  • Reduce swelling by elevating your head.
  • The patient should avoid lying on their sides for 7 to 10 days after the surgery. The patient is advised to sleep on foam and soft pillows.
  • Patients who wear glasses should modify the temple pieces to prevent any pressure on the ears.
  • The patient should wait for 3 to 5 days after the surgery to have the nurse or surgeon remove the dressings for them. After the bandages are removed, do not pull or bend the ear forward.
  • Wearing a headband for 4 to 6 weeks after the surgery can be an excellent way to achieve a quick recovery.
  • Antibiotic ointment should be applied to the crusting that may form around the suture lines behind the ear. This should be after cleansing with soap and water.
  • For 3-6 months the ear may turn pink in hot weather and sometimes swell, but this should not worry you.
  • Before the superficial nerves regenerate, it is important to insulate your ear from cold temperatures. Because of some short-term numbness, you may be unable to feel extreme temperatures. This is because you may experience some temporary numbness before complete healing occurs.