Optimization of shape or size
It can look cute, one of the most common congenital deformities of the pinna. Colloquially, we call them “jug ears” or protruding ears, but this is usually not meant flattering. Especially children of our culture respond mockingly. Teasing, which can lead not least to psychological distress. Setting back the ears by surgery can help here.
A malposition of the ears has its origin in the ear cartilage. A correction can be relatively uncomplicated. Re-modelling and setting back of the ears is possible at any age. For children it may even be advisable to have their ears set back before primary school.
How does Dr med. Bodo carry out an ear correction in Berlin?
In a conversation with Dr med. Bodo all arising questions are clarified and all desired changes are recorded. Very important: the best results – with an individually tailored treatment – can be achieved if all expectations are communicated. During surgery, the surgeon fixes the main fold, the antihelix. It either did not grow enough or even misses completely. Occasionally a combined malformation of the ear and its surrounding areas occurs. The procedure takes place on the back of the ear. There, cartilage is uncovered to be reshaped with thin threads. Further cuts guarantee a lasting result.
The ear is anaesthetized via the earlobe. At most the patient hears and feels a hum. Pain is not to be expected. The cartilage is finally abraded, reshaped and fixed with transparent sutures. If it is necessary, the procedure is repeated on the other ear. Generally, the entire procedure takes one hour. A bandage-cap fixes both ears and is supplemented by the patient with a headband.
Ears are usually set back under local anaesthesia
Generally, the procedure can be performed under local anaesthesia – in children and adults. Usually on an outpatient basis, once in a while, inpatient admission is necessary for one night. Patients who wish to be treated under general anaesthesia must first consult with the responsible anaesthesiologist. In this case, the patient must be admitted to the clinic for the night.
How to prepare for your ear correction
About three weeks before the operation, patients should not take painkillers such as aspirin as they promote bleeding and thereby negatively affect cartilage and skin. Apart from that, it is important that patients get a soft headband in advance, which can be put over the ears after surgery.
What should be considered after ear surgery?
After the procedure, slight pain is to be expected. Also, blue discoloration, slight swelling and touch sensitivity. The bandage-cap should be worn for at least three weeks – also when sleeping and lying down – because like that the ear cannot bend. Bandages, patches and sutures are removed ten days after surgery. However, a final result can only be assessed after around three months. The scar will become completely inconspicuous over time.
In outpatient treatment, painkillers and tranquilizers cause a clouding of consciousness. Patients should therefore be picked up and not be alone for the next 24 hours.
Patients will be on sick leave for about four days. Sport activities should be avoided for up to one and a half months. Showering and hair washing is only allowed with special care during this time.
What are the risks of an ear correction?
Very important: If patients are allergic to medicines or care products, they must notify us in advance. Other illnesses should be discussed with the surgeon as soon as possible. Conspicuous bruises or persistent bleeding after minor injuries may indicate a coagulation disorder. This should be precluded by a separate examination.
Possible complications after an ear surgery
Complications are always possible, such as severe headaches or bruising. Both must be checked afterwards. Pain can be treated and bruising can be punctured. Strong touch sensitivity is normal and passes during the healing process. Very seldom so-called keloids have been observed, i.e. excessive scar growth. A thick, bulging, discoloured, painful and itchy scar forms along the sutures. This can be treated with compression bandages and cortisone injections, but must be operated on again afterwards, which in turn carries the risk of a new keloid.
Infections are rare, but can occur and have a negative impact on the healing process. If the ear has already been operated on several times, blood supply can be hampered. If nerves have been severed, sensitivity can be reduced but it usually recovers without help. If the patient reacts allergic to the sutures, they may yield prematurely and thus the auricle returns to its original position. Overall, no ear equals the other. It may come to irregularities in size or the ears may protrude differently. Scars can affect the result. Or the body sets the ear back to its old position for no apparent reason. These cases can usually be corrected by a new intervention.