otoplastica-tecnica-chirurgicaThe otoplasty is also known as correction of prominent ears. This is a procedure performed under local anesthesia with sedation or more commonly under general anesthesia to reshape the ear, bringing it closer to the sides of the head.
Protruding ears are often a family trait (2-5% of the population), in some cases, the ear is more prominent than the other, and many people feel self-conscious.
The most common defect is represented by ‘excessive prominence of the ear and can be due to excessive development of the basin (depth more than 1.5 cm) and / or the lack of training of some external helix folds and antihelix calls. Sometimes you can have “ears to handle”, in which the upper part of the pavilion is folded down and forward; the “cupped ear,” very small and “shell ear”, which lack the cartilaginous folds.
Two weeks before the intervention will be suspended eventual taking acetylsalicylic acid (Aspirin, Cemirit, Vivin C, Ascriptin, etc.).
A month before the smoke should be phased to avoid untoward complications on the vascularization of the skin and the healing processes, which are instead to have an incidence of complications 10 times greater if you do not stop smoking.
The previous day should be made a thorough washing of the hair and remove nail polish hands and feet, as well as cosmetics from her face.
Make fasting 8 hours before the solids and at least 3 hours from liquids.
Getting to the hospital in the morning provided with an elastic band such as those from rather wide tennis.
During otoplasty Dr. Grassetti performs a cut behind the ear, near the crease between the ear and the head. sutures are then made on the cartilage so that the ear has more or less close to the head. If the lobe of your ear is especially great it is also carried a small procedure to reduce its size.
L ‘operation lasts about 2 and you can already do from 5 years of age. Dr. Grassetti but prefers to wait for the age of 8 years of age, when the ear will certainly have reached full and final development.
The operation is performed using a local or general anesthetic and hospital stay consists of one or two days in the hospital.
For a month after ‘intervention must wear an elastic band on the ears: 7 day morning and evening, and for another three weeks only at night, to prevent your ears are folded forward while heal.
Postoperative Course:
Often after this surgery the patient experiences a feeling of tension but it is mistaken for pain. Gradually get used and in any case the hassle associated can be controlled with standard analgesics, avoiding those containing acetylsalicylic acid. If you were to suddenly experience a sudden and persistent severe pain accompanied by swelling, then it’s time to immediately alert the surgeon because you could be developed a hematoma.
And ‘it recommended for the first 4 days post-operative stay in a cool place and keep the head raised with more pillows during bed rest to facilitate the resorption of any edema (swelling) post operators. Also it should be avoided to lower the head during the first week (to pick something up from the ground, to tie his shoes, etc.) And perform physical effort and thrust maneuvers as in the case of constipation.
During the period in which wearing the elastic band of the day, it is appropriate not to drive as it will be reduced by the same hearing ability.
After 10 days the stitches are removed and you can return to the common life of relations, but not intense physical activity that goes instead delayed by another three weeks.
The swelling will disappear completely only after the first month.
For the first two weeks will be small bruises, which can however be hidden with hypoallergenic makeup.
Will persist for a few months a reduction in skin sensitivity of ear due to the stupor of nerves during the’ attochirurgico, but this will gradually recover without sequelae. Precisely for this reason, however, we must be careful when you dry the hair not to get too close and too long in the ears. During this period of wishful-sensitivity, they will instead be warned itching or false sensations type electrical shock or water drops that glide on the skin.
Smoking should be avoided for the next three weeks.
For three months it should be avoided l direct exposure to the sun, the intense heat and sun lamps. The sun exposure is permitted up to a year after surgery only with sunblock on scars creams.
Possible side effects
As mentioned above, swelling, ecchymosis (bruising), redness and temporary numbness of the skin of the ears, are the specific risks of this particular intervention. Rarely you may occur more frequently skin necrosis in patients with diabetes, microangiopatici or smoking, as well as the reopening of the wound.
possible complications
Are generic, albeit rare, associated with the surgical procedure and include wound infection and cartilage (which are well managed with antibiotics and local wound dressings), bleeding (which may involve drainage of any clots and rarely return to the operating room in case of bruises to prevent chondrites that could cause deformity of the cartilage), delayed or hypertrophic scarring. Dr. Grassetti outpatient follow you before and after ‘intervention to minimize these risks.
There will inevitably be a scar BEHIND the ear where it makes the cut, but this is usually very well hidden in the furrow behind the ear and hardly visible at close range. Only in the case of post-operative complications may be of poor quality. It also tends to improve over time to become almost imperceptible. Sometimes, some patients may develop a hyper-individual reactivity and reddened and thickened scars or even widened. This eventuality, albeit rare, is not predictable: can be treated as outpatients in time and, if necessary, after a year can request a ritoco in the operating room and general anesthesia.
The improvement effect is permanent and persistent over time, is immediately noticeable after intervention, becoming objectively evaluated after a few weeks, complete resolution of the post-operative swelling.
Slight asymmetries in the ‘opening of the two halls or in their conformation, which also exist in nature too, are considered possible and normal after this surgery, so you have to realistically be expected. The important thing is that they are not perceptible, otherwise you can still make on a remote touch-up of one year.