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ENT Problems (Home) > Ear > Protruding Ear Surgery (Otoplasty) Protruding Ear Surgery (Otoplasty)What to Expect After surgeryOtoplasty is the surgical procedure used to "pin back" or reposition flyaway loop ears closer to the head. This deformity causes deep emotional scarring, and is not often realized by even the parents of children who have it. Because the visual and psychological improvement after the operation is usually dramatic, it is highly rewarding to the patient, the family and the surgeon. The surgery is performed preferably on the preschool child, before the age of six years, to avoid classroom teasing. The operation can be done at anytime later; in fact, most patients are teenagers or adults. An incision is made behind the ear where it joins the scalp and some of the skin is removed. The cartilage is reshaped by incision and sutures to obtain a better shape and to have the ear lie closer to the head. The scars resulting from the incisions are located behind each ear and are hidden by the crease of the ears. The depth of the fold between the ear and the scalp will be decreased; therefore, if the patient is accustomed to wearing eyeglasses, a readjustment of the frames will be advised. The surgery is performed on an outpatient basis under local "twilight anesthesia" (or general anesthesia in children). After SurgeryAfter leaving the office, the patient wears a tight bandage for the first 24 hours. If a drain was used, it is removed at the office 24 hours later. There will be pain and discomfort in the ears and pain medication will be required for two to three days. After the first 24 hours, the bandages may be removed and replaced with a ski band that is worn to keep the ears snug against the side of the head. This band should be worn constantly, 24 hours a day, for the next seven days. Then, the patient need only wear it while sleeping for the next one or two weeks.
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