Correction of the Ear
Ear Surgery Leesburg, Ashburn
"My ears are too big" or "My child ears are too big" is a common complain from patient and parents. Pinning the ears behind the head solve the whole problem. People with prominent ears are easy targets among friends and colleges. The earlier they are fixed the better children after six years age can have the surgery. The procedure gives good result. Modern techniques in cosmetic otoplasty incorporate both historical procedures and recently developed combined procedures with laser assistance to correct protruding ear or "lop ear" deformity. The multiple-procedure technique is conceptually sound and uses simple, innovative methods to reduce surgery time and yield predictable outcomes for both young and older patients. Early indications are that complications and revision rates have been reduced with the introduction of lasers in otoplasty. Modern technology allows physicians to correct "lop ear" deformity and help amend patients' distorted self-images. Though there are a number of different approaches which address this procedure, the most common one involves the reshaping or removing of some of the cartilage behind the ear. After opening the back of the ear, the doctor either removes some of the cartilage or folds it on to itself and sutures it together. Since the work is done on the back of the ear, any scars are usually faint and can be hidden in the creases. This procedure offers dramatic, immediate results that will last a lifetime. It's a great example of the important psychological benefits that often result from Cosmetic Surgery. Complications with this procedure have been minimal, with rare instances of infection or hypertrophic scarring. Less than 2-3% of patients require additional surgeries, although occasionally a secondary revision of the anterior Mustardé procedure may be necessary. The conchal set-back technique seems to be long-lasting and permanent with minimal incidence of suture extrusion. The conchal set-back appears to account for 70-80% of the aesthetic correction.
Ear Surgery alone takes approximately about 1 hour to perform and may be combined with other facial procedures. A local anesthetic is generally used. In addition to the local, various drugs are used before, during and after surgery to make you comfortable and steady. Dissolving sutures are used which mean you do not have to return to the clinic to have them removed. After surgery, the ears are covered with a dressing that is removed after 4 - 5 days. A support head band will be given to you to wear at night for the next four weeks to prevent damage to the surgery while the ears are healing, during your sleep. After surgery, any minor pain or discomfort you experience can be controlled with medication. Postauricular Incision The incision is made in the postauricular crease with the length varying from 2.5 to 2.7 cm.
Recovery and Final Result
Full recovery from surgery and anesthesia takes approximately 2 weeks and complete healing may take up to 1 year. After the first 24 hours, dressing are removed and the patient may shower. On the second postoperative day the patient is allowed to start moderate activities and after 2 weeks normal activities can be resumed. During the first 1 to 2 weeks, the patient wears a four-inch stockinette ear dressing, graduating to a ski headband or something comparable at night to a ski headband or something comparable at night for the next 6 weeks. The dressings not only serve to support the ear, but also as a helpful reminder. With the use of high-tech laser in surgery, along with intravenous sedation techniques, patients typically have minimal bruising or pain. Recommended pain medications include ketorolac tromethamine. On removal of the dressing, patients can observe an almost complete correction of their deformity. Within a few weeks, the wound has dramatically improved and the surgical corrections are less apparent and more natural in appearance. Patients should be advised of the normal time of wound healing which is 40% at 6 weeks, 70% at 6 months, and 90% at 1 year. Typically, most patients are up and around a day or two after surgery. You will be quite presentable 1 week after surgery however full healing can take up to 3 months. Rest with your head elevated for the first 2 - 4 days. You can shampoo your hair once your dressing has been removed. Do not wrap the towel around your head as this will pull the ears forward. Dry thoroughly behind the ears after each shower. Burning, tightness, itchiness and puffiness are normal for the first few weeks. Any excessive bleeding, discoloration or swelling should be immediately reported to The Centre.