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OTOPLASTY


OTOPLASTY

Otoplasty refers to the surgery performed to reshape the external ear in order to correct deformity and improve the appearance of the external ear. Some of the deformities are congenital, while others are acquired due to trauma, disease or abnormal growth. The commonest external ear deformity is prominent ear, others are ear tag (accessory tragus), Stahl’s ear, cryptotia, constricted ear, cleft earlobe and keloids formation.

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                          Before                                                          After                                                        Before                                                     After

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                       Before                                                   After            

 

Preparation

1.    Inform the doctor of any pre-existing medical conditions and drug allergy. All medical conditions must be treated and stabilized before surgery.

 

2.    Stop smoking at least one week before surgery. Smoking is harmful to wound healing and increases the risks of other post-operation complications.  

3.    Stop taking the following medications and supplements one week before surgery:

 

a.    Medicine that increases bleeding during surgery such as aspirin, NSAIDs and warfarin. However, you may need to consult your physician who prescribed the medicine before you stop them. 

b.    All supplements that contain vitamin E, ginseng, ginkgo, garlic, fish oil and other ingredients that increase bleeding during surgery. Other supplements, traditional medicine and herbs in which ingredients are unknown have to be stopped as well.

4.    On the day of surgery, wear simple and comfortable clothing and do not wear any makeup. Do not wear any jewelry and metal objects on the face and body.

5.    Don’t wear glasses on the day of surgery as the ear will be bandaged. Wear contact lens instead.

 

 

Surgery

Duration: 2-3 hours

Anaesthesia: Local anaesthesia

Hospitalization: Not required.

Recovery*: Back to work in 5-7 days, light exercise after 2-3 weeks, heavy exercise after 4 weeks.

* The actual speed of recovery may vary from person to person.

Surgery Technique*:

The surgery is performed through an incision on the back of the ear. During the surgery, the ear cartilage, soft tissues and skin are reconstructed to create the desired shape and form. The exact technique for individual patients may differ according to the specific deformity of the ear.

 

 

Post-operative Care**

1.    What to expect: Swelling usually peaks on the second to third day after surgery and will gradually subside thereafter. Post-operative pain is usually minimal.

2.    A bandage will be applied around the ears for at least one week.

 

3.    General care  

a.    Elevate the head during sleep to reduce swelling.

b.    Avoid smoking for at least one month. Smoking increases the risk of wound complications.

c.     Good rest and adequate sleep are helpful for a speedy recovery

d.    Sleep on the back. Avoid sleeping on one side to prevent pressure on the ear.

e.    Be relaxed and calm. Contact the clinic if there are any queries.

f.     Don’t wear framed glasses for at least 2-3 weeks to avoid pressure in the ears.

4.    Medicine: Finish the oral antibiotics as prescribed. Take the painkiller as prescribed when necessary.

 

5.    Wound care: After the bandage is removed after one week, clean the wound with a clean cotton tip soaked with sterile water/saline. Apply antibiotic ointment.  

6.    Physical activity: Avoid heavy physical activity and exercise for at least one month.

7.    Follow-up: Come back three days after surgery for wound inspection. Come back again after one week after surgery for suture removal and review.

8.    Emergency: If there is heavy bleeding, rapid increase in swelling or severe pain, immediately contact the clinic/doctor for advice.

 

9.    ** The instructions in this list are only for general guidance and the list is not meant to be exhaustive. If you have any specific queries or concerns during the post-operative recovery, please contact the clinic for further advice.

 

 

 

 

 

 

 

 



 
 
 
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Jalan Perubatan 1, Pandan Indah, 55100
  Kuala Lumpur, Malaysia
+603-42892828
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