
Prominent Ear
Deformity
Although more common in children
prominent ear correction is performed also in patients later in life.
Many children suffer teasing at school from this relatively common deformity.
Because ears grow to near adult size by early school age, the prominent
ear appears more obvious. Mild cases may be concealed by longer hair
until a child has become fully developed, and a decision for or against
surgery then taken. If however the deformity is obvious, it is much
kinder to carry out corrective surgery, which can be done from the age
of approximately six years.
Technique
The operation is done through the back of the ear
planned in a way so no scar is apparent, and is designed to produce
an entirely normal ear. For small children this is done under a general
anaesthetic and they can leave hospital the following day. Adults and
teenagers may have the treatment under local anaesthetic and go home
the same day.
A bandage is worn around the upper head for one week,
and then removed at the same time as the stitches. The ears heal fast
and the appearance is very natural even after one week. But, just as
with any operation, the ears will be tender if knocked, so please avoid
any contact sports for six weeks. It is also a good idea to wear a woollen
ear band (as for skiing) at night after the bandage is removed. This
support protects the ears for about two weeks whilst sleeping and can
then be left off.
After six weeks you will be asked to return for a
follow up examination, by which time slight tenderness and redness of
the ears has usually resolved completely.
Although complications are unusual they include bleeding,
slow healing, infection, and asymmetry. Scars may result raised but
this is a very uncommon problem. If recurrence of ear prominence follows
correction, this may require re-operation (this can occur in less than
5% of patients).
After the operation you will be visited while in hospital
by myself normally or otherwise a member of my team in order to ensure
a personal and confidential programme of after care. I can be contacted
through my secretary or -out of hours- the Hospital switchboard should
the need arise.
Revision surgery may be required in a very small minority
of cases in the short term. In these circumstances you will not incur
any surgical fees (payment to the surgeon), but you will be responsible
for the cost of the hospital and anaesthetic fees.
I hope that this information, and the attention
that you will receive postoperatively will keep you fully informed at
all times. A more in detail discussion about the operation and possible
complications adjusted to your specific needs takes place during consultation.