Prominent Ear Surgery in Turkey
About The Prominent - Scoop Ear
Today, the prominent ear is among the problems affecting the aesthetic and psychosocial development of many people. The frequency of this problem, especially in the white race, is 5%. Women are more lucky than men in hiding the prominent ear problem. The prominent ear problem affects children the most.
Prominent ear deformity is an aesthetic problem that many people experience in our country. It should be noted that the prominent ear deformity is caused by two reasons. The first reason states that one's innate inner fold of the ear is not formed. This problem causes the ear to open outwards and make an almost ninety degree angle with the skull base.
The second reason that causes ear deformity is that the inner bucket called “concha”, which leads to the formation of the prominent ear, is caused by the opening of the ear outwards because of the wide, wide and deep, and such ears are also called “scoop ear deformity”.
The most common deformity in the ear is called "scoop ear" or "sailing ear" among the people. Since the ear folds are not sufficient due to the weakness of the ear cartilage, the condition of the auricle to be bent forward and sideways than normal is called a "scoop ear". The main reason is that the ears are far from the back of the ear at an angle far from the bone. This is often a disfigurement from the family. This situation, which is one of the largest complexes of many children, especially school-age children, differs from culture to culture today. Although the prominent ear is a mockery in western societies; In some societies, it is accepted as a symptom of loveliness, sweetness and beauty in young girls, and on the contrary, it is accepted as a reason for preference. Prominent ear surgery is an aesthetic surgery that is also in demand by men. The reason for this is that while men can easily hide their hair and ears, men cannot hide it because of their short hair.
What Are the Causes of Prominent Ear?
The prominent ear is a congenital and familial condition. It does not depend on a specific cause. It is not a sign of any discomfort or illness. Sometimes a newborn may not have one or two ears abnormally. According to another theory, the estrogen hormone circulating in the blood causes the ear cartilage to be soft, which turns into a prominent appearance with the pull of the forearm muscles immediately after birth.
Prominent Ear Surgery Age in Children
Prominent ear is the biggest nightmare of school-age children boys or girls. Because at school, they become a mockery for their friends, and this affects their school success and social relationships significantly. They have problems with school adaptation. In the future, it can even cause serious psychological problems that cannot be recovered. The best treatment is to apply an elastic bandage to the ears continuously for 2-3 weeks after birth, but under the supervision of a doctor, in babies whose scoop ears are detected. The result is usually successful and there is no need for surgery in the future. In children who missed this opportunity, the best time to treat is to correct it at the age of 6 before starting primary school. Because when they start school, they will be treated without being ridiculed and psychologically noticed. Since the ears complete their development at the age of 4-5, there is no harm in having surgery at the age of 6. According to personal conditions and family preference, surgery can be performed in later years, but pre-school surgery should be preferred because it eliminates the possibility of being taunted by the child's friends because of their ears. It can be done at any age from the age of 5.
Children Should Be 5 to 6 Years Old in Scoop Ear Surgery
The development of the ears of the children is almost complete before they reach the age of five and a half. In children, the head continues to grow from this age, but it is observed that the ear length and width remain almost the same. The point we have reached as a result of our advice and all scientific researches is that children should have scoop ear surgery between the ages of five and a half to six years before they reach primary school age.
Pediatric patients are mostly operated under general anesthesia, while adult patients undergo local anesthesia and sedation and the operation is completed in one and a half hours.
Important for the Psychosocial Development of Children
In fact, it is known as ear size among the people. But the prominent ear problem has nothing to do with the size of the ear. It is possible to say that there is only an angular problem. So what is the prominent ear problem?
The prominent ear is usually seen from the moment people are born. Although it is not considered very important in the early days, it may cause children to face various social problems due to their physical appearance.
Prominent ear surgery, especially during periods when children start to discover their own physical features, it will be likely that various psychological problems will arise. So much so that the development process is a very important issue for every child. Like everyone, they want their aesthetic appearance to be very good.
In cases where the appearance is not good, it will be inevitable to experience the problem of sociality. Therefore, the prominent ear problem should be treated as soon as possible.
The only known treatment of the problem is surgical methods. It will be more appropriate to do it in preschool periods especially for children in terms of not having trouble in the future periods.
It is recommended to carry out a small aesthetic operation to children who experience this problem before the primary school age, especially since early intervention to people with a prominent ear problem is of great importance for the psychosocial development of the patient.
A child who was mocked by his friends because of his ear, especially in primary school age, does not experience processes such as closings, not talking too much, decrease in his expressiveness, decrease in his social shares, and for the psychosocial development of the child, the patient should be operated before the age of primary school and this operation is a precautionary surgery for the psychosocial development of the child. It is necessary to underline.
Operation of classical method in scoop ear does not offer permanent solution!
When using classical techniques in scoop ear surgeries, there is a risk of recurrence of scoop ear up to 25% - 30% compared to literature. The reason for this is that the sutures passed through the cartilage in classical techniques create disadvantages in several points. First of all, these stitches get rid of ear cartilage, which is very thin and delicate over time, and the ear is restored and re-opened. The second disadvantage is that the tension and the load created by the stitches placed only on the cartilage to create the fold cause regional pain in the ear that lasts for a long time or even often. For this reason, the most remarkable aspects of the prominent ear aesthetic operation performed by applying classical technique are the high risk of re-opening and reinstatement and post-operative pain formation.
There are different types of ear aesthetic surgery (otoplasty) techniques for scoop ear treatment. The most well-known among these is the "Mustarde technique otoplasty". In this method, the cartilage of the auricle is directed backwards by using permanent stitche materials behind the auricle that lasts for 8-10 minutes.
Usually instead of prominent ear aesthetic surgery with this sewing method; I prefer to do a modified technical ear ear surgery.
Can Prominent Ear Surgery Be Performed in Adults?
Prominent ear correction surgery can be performed easily in adults and there is no inconvenience. Patients who have not been treated in our community for socioeconomic reasons in childhood are operated when they become adults and have their own financial means.
What Are The Benefits of Prominent Ear Surgery?
Prominent ear aesthetic surgery seriously changes the appearance of the person by ensuring that the ears come to their normal places. When this situation increases self-confidence, it will affect family and social relationships positively.
How Is A Modified Technique Otoplasty Be Performed?
Modified technique otoplasty operation can also be performed under local anesthesia. After the local anesthetic injection, after the incision is made behind the auricle, the antihelial fold with insufficient opening is marked from the back with needles and this fold creates a new suture with absorbable suture materials. Here, cartilage incision and cartilage shaping process is performed in the auricle as schematized in the above image. From the front, unsharp folds appear as if they were a normal auricle fold and can provide a natural look. It can be additionally combined with other techniques in patients with concha cartilage excess and I prefer to do it most frequently with the concha-mastoid suture technique. After the cartilage is shaped and stitched, the skin can be sutured with absorbable sewing materials. In addition, partial resection can be made from the skin. Usually the processing time is between 30-45 minutes. After the procedure, the operation is terminated by making a printed dressing.
Advantages of the modified technique prominent ear surgery
The advantages of prominent ear surgeries performed with this technique can be listed as follows:
- During the procedure, the ear folds are aimed to shape the cartilage with a natural appearance and to form a new fold, and after the recovery is completed, permanent auricle is shaped.
- When cartilage shaping or angulation is used with permanent and non-absorbable sewing materials, there is a risk that the skin of the messenger skin is thin and the stitches come out or cause infection. Since it is not necessary to use non-absorbable suture material in the modified technique, there is no risk of this suture reaction, infection and suturing material from the skin.
- During the process, the cartilage is shaped and shaped with the help of a scalpel and elevator. As in the sewing method, there is no risk of a retarding after the stitch is opened or disposed after the healing is completed.
- Reconstruction of the antihelial fold on the auricle, a more natural appearance of the auricle can be obtained when the folds are not sharp when viewed from the side and from the front.
Disadvantages of modified technique prominent ear surgery
In general, the biggest disadvantage of this technique is the long duration. The processing time is generally around 30 minutes but it can be extended up to 45 minutes.
Photos of the modified technique scoop ear surgery
After the procedure below, you can take a look at the photos showing the back, side and front view of the auricle. If an antibiotic cream is applied to the absorbable suture area on the back, a thin line-shaped incision scar usually remains within a few weeks. In the photographs before the above procedure, the entrance points of the dental needle used in local anesthetic injection are seen as small red dots.
Prominent Ear Surgery (Modified Technique Prominent Ear Surgery) Video With Cartilage Shaping:
What is the ideal season for scoop ear surgery?
scoop ear surgery There is no seasonal requirement for scoop ear surgery. It is possible to apply in all seasons. However, it is imperative to pay attention to some issues in the summer, when scoop ear surgery is performed.
So much so that it is inevitable to use bandages and tape, especially in the summer months. Because in hot weather, people will feel physically uncomfortable.
For this reason, it will be much more beneficial to do it in spring, autumn and winter seasons for a more comfortable operation. Thus, it will be possible to avoid problems related to heat.
What are the risks of prominent ear surgery?
As with any surgery, certain risks will be involved in scoop ear surgery. One of these risks is bleeding during surgery. Bleeding is not something to be afraid of. It can be stopped by specialists. Rather than this risk, the main danger is the risk of complications after surgery. Postoperative follow-up should be done regularly to avoid complications. Another risk that may occur during or after ear surgery is asymmetric distress. In other words, both ears are not in the same ratio with each other. In such cases, a surgical procedure may be required. Therefore, it will be beneficial to pay attention to ear rates. During the surgery, I use self-melting (non-permanent) sewing materials and it is beneficial in terms of protecting patients from the risks of permanent sewing reaction. The risk factor of prominent ear surgery is very low. It is possible that complications such as edema or bruising occur at the earliest stages of the operation. If the patient does not pay attention to himself after the operation and the controls are not frequently visited, the risk of getting an infection is also high. These risks usually include opening stitches and bleeding. However, it can be said that there is a very rare side effect if careful after surgery. In the later stages of the surgery, the permanent sutures put in order to shape the ear can be opened and the condition of the auricle may reappear. This is very rare, just like any other situation. In such cases, surgery will need to be done again.
Is general anesthesia required for scoop ear surgeries?
Prominent ear surgeries are usually performed under anesthesia (the operation is performed under general anesthesia in children and under general or local anesthesia in adults.). However, anesthesia technique is generally used for very young children. Ear aesthetics for older children and adult people is usually done with sedatives or local anesthesia. In addition, if deemed appropriate, it can also be done using general anesthesia.
Cost of Prominent Ear Aesthetic Operation in Istanbul
I usually use a modified technique for treatment of protruding ears. It takes a little longerthan simple otoplasty techniques that done with permament stitches in few minutes and I don't use permanent sewing materials. When otoplasty operation is performed on two ears, the price varies between 2500 - 3500 US Dollars according to hospitals. Tıtal surgery cost fees may increase in luxury hospitals. One day staying at hospital, blood tests, instruments and all doctor fees are included in this price.
Healing After Otoplasty Operation and Postoperative Patient Care
After ear aesthetics, the patient's ears are covered with a bandage. This bandage is removed a day or two after surgery and the ears are checked. After the operation, the patient is recommended to rest at home for a few days. The patient may experience some pain for the first two days, but this pain is often easily controlled by painkillers. The patient can use a tape to protect his ears for about 2-3 weeks thereafter. He can use this especially at night. If the patient does not have a complaint, the postoperative check is done approximately 1 month later.
We then apply a bandage such as a forehead band or a sweat bandage worn by athletes. We wear this bandage for one week day and night, after one week only to keep it on the ear pillow while sleeping at night. Our patients generally do not feel much pain after this procedure.
Do not hang on the ear in a three-week period that we only tell our patients. After three weeks, the ear tightens and the ear returns to what it should be normal.
Usually this process takes place in the same way for men and women. The breed does not make any difference. A faster recovery appears in children. So it is more useful to do it at a young age.
You can find more photos and information about otoplasty surgery at >> Ear Plastic Surgery in Istanbul, Turkey
Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul
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