What is Prominent Ear?
Prominent ear surgery (otoplasty) is a surgical procedure performed to correct the outward-leaning, prominent appearance of the ear.
Prominent ear deformity is one of the most common congenital ear shape disorders. Due to the structural differences in the ear cartilage, the auricle stands forward more prominently than normal.
Prominent ear deformity is a condition that can affect self-confidence, especially during childhood.
When prominent ear deformity is intervened in at an early stage, it is more advantageous in terms of both technical success and psychological gain.
This condition is generally one of the issues evaluated within the scope of ear aesthetics. However, prominent ear is a subject that needs to be addressed separately due to its social and psychological effects, especially during childhood and adolescence.
In the newborn period, since the ear cartilage is softer due to the effect of the estrogen hormone coming from the mother, ear shaping treatment can be performed with special apparatus used during this period. Therefore, non-surgical treatment may be possible in cases noticed in the first months.
When Should Prominent Ear Surgery Be Performed?
Contrary to popular belief, the timing of prominent ear surgery coincides with earlier ages. Since approximately 80% of ear development is completed around the age of 5–6, this age range is a suitable period for surgery.
Especially having children undergo surgery in the preschool period provides a positive psychological contribution by reducing the risk of being teased in social circles.
In addition, since the ear cartilage is softer at these ages, it is easier to shape it surgically.
Anesthesia Choice in Prominent Ear Surgery
The anesthesia method to be applied in prominent ear surgery varies according to the patient's age and clinical condition.
- Between ages 5–6 and 12–14: General anesthesia is usually preferred.
- Between ages 14–18: The procedure can be performed with sedation and regional anesthesia.
- Adult patients: Most of the time, the surgery can be performed with only local anesthesia, even in clinical conditions.
However, every patient is different. In adults, the type of anesthesia may change depending on the general health status, pain threshold, and request.
How is Prominent Ear Surgery Performed?
The main goal in prominent ear surgery is to give a permanent shape to the ear cartilage. This process is usually performed with suture techniques.
In my clinical practice, in cases where I think that sufficient shape cannot be given only with sutures, I also use cartilage weakening or cutting techniques.
Adult patients for whom I prefer sedation or general anesthesia are the group for whom I think sufficient shape cannot be given to the cartilage only with sutures.
When these maneuvers are not performed, the possibility of recurrence may increase. Therefore, I believe that at least sedation anesthesia is required in this patient group.
Recovery Process and Return to Daily Life After Surgery
The recovery process after prominent ear surgery is quite fast and effortless for most patients. After the surgery, a special bandage application is performed to protect the ears and maintain the new shape of the cartilage.
- Bandage and headband use: Bandages after surgery are usually removed after 2-3 days. Then, it is recommended to use a headband for about 2–3 weeks.
- Return to social life: Patients can usually return to their daily lives within 3–4 days.
- Activity restriction: Impacts should be avoided for the first few weeks.
How Many Hours Does Prominent Ear Surgery Take?
Prominent ear surgery usually takes between 45 minutes and 1.5 hours. The duration may vary according to the scope of the procedure.
Will There Be Scars After Prominent Ear Surgery?
Since the scars after surgery usually remain behind the ear, they are not noticed from the outside. They lose their prominence over time.
Recurrence Risk in Prominent Ear Surgery
One of the most important issues after prominent ear surgery is the risk of recurrence.
In general, the earlier the age at which the prominent ear is operated on, the lower the recurrence rate.
Therefore, not delaying the surgery in suitable patients is important for long-term results.
Who is Suitable for Prominent Ear Surgery?
Individuals in every age group who have prominent ear deformity and feel aesthetic or psychological discomfort from this situation can be candidates for this surgery.
However, especially in children, the decision for surgery should be made by evaluating both physical development and psychological state together. Every patient is different, and the treatment plan should be created specifically for the individual.
Frequently Asked Questions
At what age is prominent ear surgery performed?
It can usually be performed from the age of 5–6 onwards. By this age, most of the ear development is completed.
Will the ear open again after surgery?
With the correct technique and appropriate patient selection, the risk of recurrence is low. However, re-opening may be seen in some cases.
How many days does it take to recover from prominent ear surgery?
Patients can usually return to their daily lives within 7–10 days. Swelling and sensitivity become prominent within the first week.
Can prominent ear surgery be performed in adults?
Yes, it can be easily performed in adults as well. Most of the time, it can be applied with local anesthesia.
The most accurate approach for prominent ear surgery is determined through a personal examination. It is recommended to seek an expert opinion for an evaluation specific to you.
