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Prominent Ear Deformity

What is Prominent Ear?

It is a condition in which the angle of the auricle with the skull increases too much and the ears appear to be raised forward. Normally, the angle between the auricle and the scalp is 21 degrees in women and 25 degrees in men. In other words, the distance between the edge of the ear and the skull is 1.5-2 cm. As this distance increases, the prominent ear deformity becomes more severe. This deformity is present in 5 per cent of the population (i.e. one in every 20 people). In Eastern cultures this is considered a sign of "wisdom" or "good fortune", whereas in Western cultures it has negative social implications. While the size of the auricle or the different shapes of the earlobe are usually not a problem, the protrusion of the auricle forward causes great psychological distress. While being ridiculed during the school period can lead to a decrease in course success, it can lead to serious consequences such as withdrawal from social life and failure in business life at an advanced age. Prominent ear deformity  should therefore be treated at the earliest possible age.

izmir Kepçe Kulak ameliyatı

When and How is Prominent Ear Treated?

Normally, the angle between the auricle and the scalp is 21 degrees in women and 25 degrees in men. In other words, the distance between the edge of the ear and the skull is 1.5-2 cm. As this distance increases, the prominent ear deformity becomes more severe.

 

The ear almost completes its development after birth at the age of 6-7 years. For this reason, it would be good to be treated just before the child starts school in order to prevent negative psychological effects. After the 6th age, it can be done at any age where possible.

 

Scoop ear surgery Izmir is usually performed under local anaesthesia and takes 30 -90 minutes depending on the degree of difficulty. In the operation, the auricle is restored to its normal aesthetic posture by using one or a combination of cartilage removal, cartilage drawing and shaping suturing techniques. Since the intervention is performed behind the ear, there is no scar visible from the outside. The operation is completed by bandaging the ears and the pressure is maintained with an elastic bandage worn continuously for 24 hours for at least 2 weeks. Between the 2nd-4th weeks, it will be sufficient to wear the elastic bandage only at night while lying down. During this period, the ears should not be lain on and should be protected from hard impacts.

What are the complications of surgery?

In cosmetic otoplasties (bucket ear surgery) patient satisfaction is over 95%. Complications can be summarised as follows:

 

  • Severe pain in the early period: may be due to haematoma, infection or folding of the ear under the bandage

  • Haematoma: collection of blood under the skin (1-3%)

  • Infection (1-5%)

  • Granuloma due to suture threads or subcutaneous visualisation of threads

  • Cartilage or skin necrosis

  • Development of allergy due to plast or bandages used

  • Development of hypertrophic scar or keloid at the wound site (swelling and healing of the wound)

  • Hypoesthesia: Decreased sensation in the ear is due to nerve damage. It may improve over time

  • Undesirable cosmetic result: The ear may return to its former shape (5-8%), tilt too far back or have the appearance of a telephone ear. These are corrected with a second intervention.

 

The reshaped ear will not be exactly the same as the other ear. The ear is brought to the closest appearance to normal, which is a very satisfactory result. Expecting an overly perfect result may lead to disappointments. Your doctor will make the necessary explanations about prominent ear surgery  beforehand.

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