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Correction by otoplasty involves changing the shape of the ear cartilage so that the ear is brought closer to the side of the head. [2] The skin is not removed, but the shape of the cartilage is altered. The surgery does not affect hearing. [3] It is done for cosmetic purposes only.
Otoplasty (surgery of the ear) was developed in ancient India and is described in the medical compendium, the Sushruta Samhita (Sushruta's Compendium, c. 500 AD).The book discussed otoplastic and other plastic surgery techniques and procedures for correcting, repairing and reconstructing ears, noses, lips, and genitalia that were amputated as criminal, religious, and military punishments.
The surgery takes 1 ⁄ 2 to 1 hour if done through the ear canal and 1 + 1 ⁄ 2 to 2 hours if an incision is needed. It is done under local or general anesthesia . It is done on an inpatient or day case basis and is successful 85–90% of the time.
Cosmetic plastic surgery is defined as a surgical procedure undertaken to improve the physical appearance and self-esteem of a patient. These procedures are usually elective. While the majority of pediatric plastic surgery procedures done are reconstructive; there are those performed for cosmetic purposes.
The technique is used for protuberant "lop" ears to correct the problem in the least invasive way. From the back of the ear, permanent, non-absorbable sutures (called by Fritsch "retention sutures") are placed invisibly into the cartilage of the external ear pinna with a unique technique, whereby the stitch passes in and out of the same needle hole achieve the desired pathway for the suture to ...
This antihelix plastic surgery is performed with the incision-suture technique. A long incision is made on the back of the ear and a strip of skin is removed. The cartilage is completely cut through in several places. With thick cartilage, the back of the antihelix is made thinner by using a scalpel to remove cartilage.
A new variation (called tympanolaserostomy or laser-assisted tympanostomy) uses a CO 2 laser, and is performed with a computer-driven laser and a video monitor to pinpoint a precise location for the hole. The laser takes one-tenth of a second to create the opening, without damaging surrounding skin or other structures.
Burt Brent is a retired reconstructive plastic surgeon best known for his work in reconstructing the absent outer ear. He built upon the techniques of his mentor, Dr. Radford Tanzer [1] of the Mary Hitchcock Clinic at Dartmouth Medical School and repaired ear defects in 1,800 patients, most of them children born with ear deformities such as microtia.