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Ear reconstruction surgery is a procedure that aims to reconstruct a person's ear, either partially or entirely. It can be performed on individuals born with a congenital ear deformity or those who have lost their ear(s) due to injury or illness.
Procedure type
Surgical procedure
Alternate names
Auricular reconstruction, ear reshaping surgery, otoplasty.
Speciality
Aesthetic and Reconstructive medicine
Associated Anatomy
Ears
Types of Ear Reconstruction Procedures
Some types of ear reconstruction procedures are:
- Autologous ear reconstruction: This procedure involves using tissue from the patient's own body to reconstruct the ear. It is done using different techniques like rib cartilage grafting, skin grafting, or tissue expansion.
- Prosthetic ear reconstruction: This procedure involves creating a prosthetic ear attached to the patient's head using magnets or clips. Prosthetic ears are typically made from silicone or other materials designed to look and feel like natural ear tissue.
- Microtia repair: Microtia is a condition where the ear does not fully develop, resulting in a small or malformed ear. Microtia repair involves reconstructing the ear using tissue from the patient's own body, such as rib cartilage or skin grafts.
Why is Ear Reconstruction Performed?
Ear reconstruction is performed for a variety of reasons, including:
- Correcting congenital deformities: Some people are born with deformities or abnormalities of the ear, such as microtia, that can be corrected through reconstructive surgery.
- Addressing traumatic injuries: Trauma to the ear, such as a severe burn or injury, can cause deformities or functional impairments that can be addressed through reconstructive surgery.
- Improving the appearance of the ear: Some people may opt for ear reconstruction surgery to improve the appearance of their ears, such as correcting prominent ears or asymmetrical earlobes.
Who is a Candidate for Ear Reconstruction Surgery?
People who may be candidates for ear reconstruction surgery include:
- Children with congenital ear deformities: Children born with microtia or other ear deformities may be candidates for ear reconstruction surgery.
- Adults with traumatic injuries: Adults who have suffered traumatic injuries to the ear may benefit from ear reconstruction surgery to address functional impairments or cosmetic concerns.
- People unhappy with the appearance of their ears: Individuals unhappy with the appearance of their ears, such as those with prominent ears or asymmetrical earlobes, may opt for ear reconstruction surgery to improve their appearance.
Preparation for Ear Reconstructive Surgery
Before surgery, the patient will undergo a thorough medical evaluation, which includes blood tests, imaging tests, and a consultation with the plastic surgeon.
The patient may also be advised to avoid certain medications, like blood thinners, in the days leading up to the procedure.
How is the Procedure Performed?
- Ear reconstruction surgery can involve different techniques depending on the individual's specific case.
- In some cases, the surgeon may use a cartilage graft from the patient's own body, such as from the rib cage, to build the framework of the new ear. The skin may be taken from another part of the patient's body, such as the scalp or behind the ear, and used to cover the newly reconstructed ear.
- In other cases, the surgeon may use tissue expanders to create more skin around the ear site. Once the skin has expanded, the surgeon can then use the extra skin to create the new ear.
Risks Factors Associated with Ear Reconstruction Surgery
Risks associated with ear reconstruction surgery include:
- Bleeding
- Infection
- Scarring
- Poor healing
- Asymmetry
- Recurrence of the deformity
Recovery after Ear Reconstruction Surgery
- Recovery time for ear reconstruction surgery can vary depending on the extent of the procedure.
- Patients need to wear a protective headband for several weeks following the surgery to protect the ear and aid in healing.
- The patient may also need to avoid certain activities, such as sports or strenuous exercise, for several weeks after the surgery.
- Follow-up appointments with the plastic surgeon are necessary to monitor the healing process and ensure the best possible outcome.
Frequently Asked Questions
Q1. How much does prominent ear surgery cost?
The cost of otoplasty can vary depending on several factors, like the location of the surgeon, the extent of the procedure, and any associated fees.
Q2. Is ear reconstruction surgery a major surgery?
Ear reconstruction surgery can vary in complexity depending on the procedure and the extent of ear deformity or injury. However, most ear reconstruction surgeries are considered to be major surgeries that require general anaesthesia and a recovery period of several weeks to months.
Q3. How painful is an ear reconstruction surgery?
The level of pain experienced after ear reconstruction surgery varies, depending on the extent of the procedure and the individual's pain tolerance. Pain and discomfort are managed with medication prescribed by the surgeon and typically subsides within a few days to a week after the surgery.
Q4. How do you sleep after ear surgery?
After ear surgery, sleeping with the head elevated and on the back is recommended to avoid putting pressure on the ears. The surgeon may also provide specific instructions on positioning the head and ears during sleep to promote healing and minimise discomfort.
Review
Reviewed By Dr. Pankaj Sharma, Consultant, Aesthetic And Reconstructive Surgery on 29 May 2024.