2813 W Southlake Blvd #130

Southlake, TX 76092

Otoplasty to Correct Several Concerns

Procedure Details

"Ear Pinning Surgery" is used to correct large or prominent ears. Ear shape, size, and symmetry are determined by many named nooks, crannies, folds, and convolutions that are created by the cartilage skeleton underlying the skin. Ears may appear prominent in the vertical and/or horizontal dimensions as a result of the underlying cartilage skeleton growing too large. Alternatively, the ears may appear prominent because they "stick out too far from the head" as a result of incomplete cartilage folding while the baby is in the womb. Frequently, prominent ears result from a combination of all of the above.
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Procedure Details

Technique

The otoplasty was performed mostly from behind the ear.  A fusiform/ellipsis of skin was first excised posteriorly taking care to place the final scar in the crease between the ear and skull.  The concha cartilage was sutured to the skull (via the mastoid) to set the ears back to a more aesthetic position.


A very small incision (~1 mm) was hidden on the anterior (front), superior surface of each ear under the (Helix)  rim.  The scars are of excellent quality and cannot be seen.  Through these tiny incisions an instrument ("Dingman Otabraider"/ “Otabraider") was introduced below the skin and used to scratch and weaken and shape the ear cartilage.  From behind the ear, sutures were placed into the cartilage to maintain the shape of the newly created anti-Helix.


Finally the wounds were closed and  dressings were applied. The patient was discharged with a protective  sweat band that was worn for 1 week 24 X 7, and another 2 weeks at bedtime.  The patient was instructed to abstain from contact activities for another 6 weeks.

The patient's appearance can be expected to  continue for a year or longer as swelling decreases, and tissues soften to reveal the delicate details of the surgical repair.


The procedure was performed in my Southlake, TX office and was very well tolerated by this 5 -year old patient.  No complications occurred, and his recovery was uneventful.  Best of all,  patient and  parents were very, very, happy.

Location

Scott E. Kasden, M.D.

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