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When you look at one’s face, anatomically normal ears of normal size are not very distinct among other facial units. In contrast, if the ears have any kind of deformity, they immediately strike the eye at first glance. There are lots of structural ear disorders, and that much solutions. In most of the outer ear structural deformities, the angle between the pinna and the scalp is wider than normal, so is the intrinsic contortion angle of the pinna. These angle changes are crucial, as they are responsible for the “prominent ear” deformity. In addition, pinna may be larger/smaller than normal, tapered, elongated, rounded, obtuse….. etc. Some congenital syndromes may involve the ear too, moreover, partial or total absence of the auricle may be present.

Patients presenting with prominent ears are not always adults. Altough ear deformities are evident in early childhood, psychologic problems due to the deformities occur after the child joins social environments like school or nursery. Earlier correction of the deformity means less exposure to psychologic stress caused by it. However, it’s not appropriate to operate children younger than age of 7 because of some developmental features of the human ear. 80% of the total ear growth is complete by the age of 7, so operations can be safely performed anytime after this age.

In the detailed physical examination prior to the operation, problem(s) of the ear are clarified and the technical solutions are precisely planned. Details of the procedure are discussed with the patient, and the patient is scheduled for surgery. Generally, the operation is carried out under general anesthesia in adults, where, in children intravenous sedation or general anesthesia is preferred. Simply, correction of the angular deformities and removal of excess tissue (if there is any) is what’s done in the O.R, and the procedure often takes less than an hour. Certainly, the contents and duration of the operation may vary depending on the needs of patient.

Postoperative period is quite comfortable and painless. Sutures are removed 5 to 7 days after surgery, and the patient is free for all the daily activities afterwards. Edema generally resolves in 10 to 15 days. Headbands are advised in the postoperative period, especially to pediatric patients. Prominent ear corrections are rapid-resulting procedures with perfect patient satisfaction rates.

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