ears

Otoplasty : Prominent ear surgical correction

  • Ears
  • Otoplasty : Prominent ear surgical correction

What is commonly called "prominent ears" (or “protruding ears”) corresponds to associated malformations of the ear. An otoplasty is a cosmetic surgery of the ears that corrects the abnormalities of the cartilage of the ear, so as to recreate a harmonious face. Surgical correction of prominent ears can be performed on adults, adolescents and children. Under specific conditions, an otoplasty can be covered by social security and health insurances.

Prominent ears and "normal" ears

Ears are considered "normal" when their width is between 50 and 60% of their length with an average of 3 to 4.5 cm in width and a length of 5.5 to 7 cm. Front view, the ear extends from the eyebrow to the lower part of the nose. The angle between the ear and the skull averages 25° for men and 21° for women.

What are prominent ears (or protruding ears) ?

We can consider that ears are "detached" when the angle they form with the skull is greater than the average and / or when the conch is not parallel to the skull. The ears are then too obvious when viewed from the front.

Characteristics of the prominent ears

The prominent ears are generally characterized by three malformations, often associated:

  1. An excessive retro-auricular angle between the ear and the skull,
  2. Excessive projection of the ear due to hypertrophy of the cartilage (conch),
  3. An absence of relief caused by a malformation of the cartilage which is not folded enough on itself (the antihelix).

Characteristics of prominent ears
Characteristics of prominent ears

What is an otoplasty?

The principle of the otoplasty procedure is to correct the atrial cartilage malformations responsible for the "detached" aspect of the ear:

  • Fold the cartilage part that is not enough folded,
  • Bury the part of the cartilage that is too externalized,
  • Reduce the cartilage part too important

Excision alone of the posterior skin of the ear does not make it possible to obtain the desired result because of the elasticity of the tissues.

A biological assessment is often performed prior to the operation.

Otoplasty for children?

A child can be operated as soon as he becomes aware of this malformation. If he is not able to understand the interest of the intervention, he will retain only the inconvenience.

This intervention is usually practiced at the entrance to primary school, college entrance or adolescence.

For which type of patient?

An otoplasty is appropriate to any person, child or adult with prominent ears or any other malformations of the ears. The ears reached 85% of their adult size at the age of 3 years.

There are three peaks of age at which this type of intervention is performed:

  • Between 4 and 6 years, because it is at the primary entrance that the child becomes aware of the gene and undergoes any mockery. Before this age, as long as he is not aware of the defect, it is useless to operate it, he will retain only the inconvenience of the intervention without understanding the interest.
  • If no discomfort was felt during childhood, it can appear with adolescence.
  • Finally, as an adult.

Follow-up: Surgery of prominent ears

The procedure is performed under local anesthesia to limit intraoperative bleeding as well as postoperative pain. General anesthesia (often laryngeal mask) can be considered and associated for reasons of comfort (especially when the patient is a child).

Day hospitalization

A bandage must be maintained the first night following the surgery. The next day, it will be replaced by a headband (the type of a tennis headband) which must be maintained night and day for ten days and then only at night for twenty additional days.

The used threads are removed after 8 to 10 days if they do not resolve spontaneously.

The first night is a little painful because of the postoperative edema. The pain decreases rapidly the following days.

Scars

The scar induced by the operation is almost invisible insofar as it is placed behind the ear (in the hollow).

emplacement cicatrices otoplastie
The scar induced by the operation is almost invisible insofar as it is placed behind the ear.

An otoplasty presents the risks inherent in any surgical procedure, but in a moderate way.

_Smoking increases the risk of surgical complications of any surgery. Stopping smoking 6-8 weeks before the procedure eliminates this additional risk. If you smoke, talk to your doctor, surgeon, and anesthesiologist, or call Tobacco-Info-Service at 3989 to help reduce risk and put the odds on your side. _

Reimbursement of an otoplasty

Insomuch as the prominent ears are considered a congenital malformation, an otoplasty can be paid by the Health Insurance / Social Security (CPAM) in the following cases:

  • For children who have loose ears.
  • For adults in case of significant social impact. Other adult cases are considered aesthetic and therefore unsupported.

The possible supplements of fees are with the load of the patient or its possible mutual for all or part.

An aesthetic quote or a notice of additional fees is given to the patient at the end of the preoperative consultation allowing him to learn about his eventual care by social security and his mutual health.

> See conditions of reimbursement of an otoplasty by the social security

An alternative to otoplasty: earFold implants

EarFold implant placement procedure for patients with prominent ears
EarFold implant placement procedure for patients with prominent ears

Since September 2016, Dr. Kron offer earFold implants as another procedure to correct prominent ears. It is a very minimally invasive technique for the correction of the prominent ears that offer a lasting and immediate result with much smaller consequences than with conventional surgical techniques.

To avoid the inconvenience inherent in a plastic surgery operation, earFold implants appear as an indicated procedure. As an otoplasty, the earFold implants correct the detachment of the ears in an effective and definitive way. This is a much less invasive procedure that is not performed in the operating theater and does not involve the wearing of compression bands after the procedure.

Before and after photo : Correction of prominent ears with EarFold implants
Before and after photo : Correction of prominent ears with EarFold implants

> Learn more about earfold implants

> See more before & after photos of implants earFold procedure

🇬🇧About the translation: Parts of the English version of this website were translated using computer generated translation. If you notice a significant error or if you have any doubt regarding the medical information provided, please send us a message.

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Dr Cédric Kron - Plastic surgeon in Paris

Former resident, Gold Medal of Surgery and Head of Clinic of Paris Hospitals (APHP), Dr. C. Kron is qualified in Plastic, Cosmetic and Reconstructive Surgery. He practices as a plastic surgeon in Paris, with a comprehensive and tailor-made approach of aesthetic treatments.