Genetic transmission is autosomal dominant, passing from parents to children. These changes can lead to low self-esteem, social isolation and low academic performance, especially in children and adolescents. Hearing is usually normal. Otoplasty is a surgical procedure that allows you to correct deformities of the auricle/pinna.

Otoplasty, like rhinoplasty and other facial surgical procedures, has undergone major aesthetic changes in the last decade. The new techniques are based on the concept of maximum preservation of structures, minimally invasive surgeries and natural, balanced and harmonious aesthetic results, without surgical stigmas.

The first step is to determine the cause of the prominent ear. It could be hypoplasia (underdevelopment) or absence of the antihelix, hyperplasia (overdevelopment) of the concha or a combination of both. A careful and detailed assessment of the characteristics of each ear is essential, taking into account the skin thickness, cartilage flexibility, lobe projection, among others. Finally, photographic documentation is carried out to assist in surgical planning and for comparison with the postoperative result.

Otoplasty can be performed at any age, whether on a child or an adult. Ear growth is practically complete (>90%) between 5 and 6 years of age. At this stage, the cartilage is stable but still quite flexible, and the child is already able to cooperate with post-operative care. Otoplasty recovery time varies from one to three weeks. In adults, local anesthesia is an option, while in children, general anesthesia is preferred as it is more comfortable and safer. We recommend carrying out otoplasty in children of preschool age, between 5 and 6 years old. Some advantages for this age are: the ear cartilages are more malleable, children give less emphasis to aesthetic issues, and by doing it before primary school it avoids the hassle of interrupting school activities.

The aim of the surgery is to achieve the most symmetrical, natural configuration and position of the ear pinna as possible. The approach is always retro auricular with the skin incision being “hidden” behind the ear. After the procedure, a bandage is placed that keeps the ears in the desired position. This first bandage is maintained for a week and is then removed at the first post-operative reassessment appointment.

Otoplasty is a detailed and precision surgery, with quick recovery, virtually no pain in the postoperative period, and a low rate of complications. The surgical result is immediately visible after a week, after which it takes a few weeks to reduce any edema and hematoma that may persist after removing the bandage. It is an effective surgical procedure and is generally associated with a high degree of satisfaction. If you are curious about the procedure, do not hesitate to contact us.

For more information please contact Grupo HPA Saude on (+351) 282 420 400.

This text is written by Dr. Luís Almeida Dores and Dr. Vânia Henriques, Otorhinolaryngologists at HPA.