Large protruding ears can be the source of much anxiety and emberrasment. The procedure of otoplasty is often described as "pinning back" the ears in order to change their shape and contour.

BEFORE SURGERY:
Prior to surgery, a medical history is taken in order to evaluate the general health of the patient. A careful examination is also conducted. Dr. Engen will discuss with the patient (and his or her parents if the patient is a child) how the ears should look and what can realistically be expected. Dr. Engen also discusses the type of anesthesia to be used, the actual procedure, and the possible risks and complications of the surgery. Photographs are usually taken before and after surgery to measure results.

THE PROCEDURE:
Otoplasty can be done with either a general or local anesthesia. Medication may be administered to relax the patient during surgery.

There are several surgical procedures that are designed to bring the ears closer to the head. One basic procedure involves an incision made at the back of the ear to expose firm, pliable tissue called cartilage. The surgeon may both fold down the cartilage and use sutures (stitches) to keep the folds together, or remove excess cartilage. After reshaping the cartilage, the incisions are closed with small sutures and the ears are covered with bandages. The procedure can take up to two hours or more depending upon the extent of the surgery.

FOLLOWING SURGERY:
Pain connected with this surgery is minimal to moderate and is controlled with oral medication. Bandages are removed within a few days but may be replaced with a light headband to hold back the ears. Bruising around the treated area occurs but fades within a few weeks. Some temporary swelling occurs but this condition can be alleviated by keeping the head elevated when reclining. Patients may be advised to sleep on a soft pillow, but not directly on the ears and six to eight days after surgery, patients are allowed to shampoo their hair.

Scars from the incisions fade significantly in time and are inconspicuous for the most part because they are made within the creases of the ears. Although patients are usually up and around one or two days after surgery, the decision to resume normal activities is determined by Dr. Engen.

Each year, thousands of otoplasties are successfully performed. Occasionally, a second procedure is necessary if an ear begins to protrude again. Complications of infection are rare. However, there are certain inherent risks connected with every surgical procedure that should be thoroughly discussed with the physician prior to surgery. Patients can minimize complications by carefully following directions given by the physician.

WHO IS A GOOD CANDIDATE:
This surgery can be performed on anyone over the age of five or six years old, the age at which ear growth is nearly complete. For those children with severely protruding ears, it is recommended that the surgery be performed at an early age in order to prevent any psychological stress that may be related to the condition.

If you are interested in learning more about otoplasty or other skin care and cosmetic procedures, call Todd B. Engen, M.D., or a member of his staff at (801) 426-LOOK or (800) 854-6201.

Excel Cosmetic Surgery Center `1735 N State St. Provo,UT