Medical Operative Experience

When prominent ears, protruding calls, we must bear in mind that this may cause a defendant suffering, especially in childhood, when children go to school. It is also important at the level of people and more older adults who have had this sequel in time, and with a simple ear surgery, will be resolved.

Before the surgery we have to fix if overtaking is due to the absence of the fold, we call antihelix, can also be prominent due to the shell, the shell is concave area extending from the flag to the ear canal content. Sometimes the protruding ear is due to two things, the absence of antihelix and a prominent shell.

Once the assessment that is what we have to proceed to surgery.

First draw the antihelix, bending the ear back. Then put a little local anesthesia, if an adult who supports local anestasia or no sedation, if a child who will not support local anesthesia.

Then proceed with a needle with ink, to mark the cartilage where we want it to bend. Following behind the ear remove a small ellipse of skin that includes these points marked. Segidamente weaken this part of cartilage that we want it to bend and form the antihelix.

There are many techniques for this maneuver, Moustarde, Davis, etc. to bend and weaken this cartilage. We have published our technique is to use a 4 mm burr. to bend in a manner consistent antihelix eroding the cartilage and so, when folded, becomes a very natural look. In our experience we have seen that when trying to weaken the cartilage with a scalpel cuts are sometimes too sharp and is not natural that antihelix.

We can also erode the height of the shell to adapt and get this new form. Then with suture material and transparent irreabsorvible are a few points behind the ear to bend. We’ll consider giving the proper tension for the two pavilions are symmetrical.

The patient can do normal life immediately after the operation, although it is useful when you go to sleep for fifteen days, place a strip of hair sport or to maintain the ears in correct position and can not be some wrinkles that we may distort the aesthetic result achieved. Otoplasty