The normal ear lobe is located at an angle of less than 25 degrees from the side of the skull. This distance is approximately 2 cm. All these values are approximate. When these figures are exceeded, the ear lobe is more prominent. It is necessary to analyze what is the underlying anatomical cause for correcting prominent ears. There may be deformity for 3 reasons in prominent ears; these reasons can cause prominent ears separately or together.
1) Antihelix, the top part of the ear lobe is not sufficiently developed.
2) Distinctive concha part (center of ear lobe)
3) Prominent lobule
The most common deformity in ears is prominent ear deformity. Prominent ear deformity can be corrected by otoplasty surgery. With the otoplasty, not only prominent ears, but also the size of the ear lobe, deformity of the earlobe and other deformities can be corrected. The ear lobe is not only a cosmetic structure, but also plays a role in hearing. It ensures that sound waves are collected like a funnel and transmitted to the middle ear.
There is no strict rule about the timing of otoplasty; surgery is not recommended for children under 5 years of age. The majority of our patients are adults. In adults, surgery can be performed locally (local) without the need for full (general) anesthesia. Thanks to developing surgical techniques, the prominent ear can be corrected after a procedure lasting 45 minutes. The patient is discharged on the same day without hospitalization.
The operation can be performed by several different techniques. The most popular techniques are the stitch technique placed in the cartilage and cartilage attenuation technique. Both techniques have advantages and disadvantages. By cartilage attenuation technique, cartilage can be shaped without permanent stitches.
To shape ears of babies, methods such as swaddling tennis player bands in the first 40 days could work. The effects vary from patient to patient. A closed pressed dressing is carried out for several days for postoperative care. The surgery is supported with tennis player bandage until 6 weeks after dressing. The most common complication is bleeding. It usually heals by itself. In some cases additional interventions, such as cleaning out bleeding, are needed.