Consultant in Plastic Reconstructive Aesthetic Surgery EAR

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Consultant in Plastic Reconstructive Aesthetic Surgery EAR Powered By Docstoc
					Michael Cadier MA (Oxon), MB, BS, MS, FRCS (Plast) 
Consultant in Plastic, Reconstructive & Aesthetic Surgery 

EAR RESHAPING (Otoplasty) 

Prominent ear correction 

Prominence of the ears is a cause of social embarrassment and may be surgically
corrected. The two commonest problems are the failure of the antihelical fold in the ear to
develop or of the bowl (conchae) of the ear being too large. The surgery can be affected
either in childhood from the age of 6 years onwards or in adulthood. It may be undertaken
either under general anaesthesia or local anaesthesia and is usually performed as a daycase

Preoperative advice: Mr Cadier will see you in consultation before the surgery and
discuss what is required. Aspirin and equivalent non-steroidal anti-inflammatories may
promote bleeding and therefore it is advised that these are stopped for one week prior to
surgery and for two days postoperatively.

Operation: The operation is undertaken either under local anaesthesia or general
anaesthesia. It takes approximately one and a quarter hours to undertake. The ear
cartilage is approached by an incision behind the ear and reshaped using a variety of
techniques. No incisions are usually made on the outer surface of the ear.

Postoperative care: Following surgery cotton wool impregnated with Proflavine is
inserted into the ear to maintain the new shape and a large bandage is applied. The
bandage is left on for one week. All the sutures are usually self-dissolving.

Recovery: Prominent ear correction is not usually associated with a significant
discomfort. When the bandage is removed one week later there will still be some bruising
and swelling and patients are advised to wear a head band for approximately two weeks at
night only.

Risks: As with all surgery complications can occur. With prominent ear correction, in
the first two or three days the potential problems include bleeding underneath the skin of
the ear and infection within the wounds. As the ears are not visible owing to the large
bandage, patients usually experience a sudden increase in pain and tightness usually on
one side alone. If this occurs they should reattend the hospital where the surgery was
undertaken, the bandage usually needs to be removed and the ears inspected. Appropriate
treatment is then applied. Following removal of the bandage there will be some bruising
but usually the result of surgery is immediately visible. Occasionally there is some
asymmetry in the ears and further surgery is required at a later date. Occasionally the skin
on the outer surface of the ear may develop some scabs which under normal circumstances
will heal over in a week or two. The last potential risk of note is of the scar behind the ear

                                                       Information Sheet – Otoplasty - Page 1 of 1
becoming keloid. This is a condition in which the scar becomes red, raised and lumpy and
usually requires further treatment either by injections or further surgery. This is a risk that
occurs in approximately 1% of the population but is far more common in children than

Follow up: Patients will be given an appointment to see the nursing staff one week
postoperatively for removal of bandage and appointments to see Mr Cadier in the
outpatients will be sent through the post. The usual review is at one and six months

Other Special Interests 

Aesthetic Surgery, Breast Reconstruction, Cleft Lip & Palate, Laser Surgery.
Contact Information

Web Site: 

Private Offices:

Capio New Hall Hospital
Wilts SP5 4EY

Telephone: 01722 435176

Private Hospitals:

Capio New Hall, Salisbury,
Telephone: 01722 422333

The Orchard, Isle of Wight,
Telephone: 01983 520022

Sarum Road Hospital, Winchester
Telephone: 01962 844555

The Harbour Hospital, Poole.
Telephone: 01202 244200


                                                           Information Sheet – Otoplasty - Page 2 of 2

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