Prominent Ear Correction (Otoplasty)

Prominent Ear Correction (Otoplasty)

Prominent ear occurs when the auricle is positioned more forward than normal relative to the head or when the ear folds (antihelix) are underdeveloped, resulting in a congenital ear deformity. Otoplasty is an aesthetic and reconstructive surgical procedure performed to correct the appearance of prominent ears. This surgery can be safely performed in both children and adults and provides significant psychosocial benefits in facial aesthetics.

Why Do Prominent Ears Occur?

• Underdevelopment of the antihelix fold
• Excessively deep concha (ear cavity)
• Genetic factors

This condition does not cause hearing loss; however, it can have noticeable aesthetic and psychological effects.

Who is Suitable for Otoplasty?

• Children bothered by the appearance of prominent ears
• Individuals experiencing social or psychological impact
• Children with completed ear development (usually ≥5 years old)
• Patients with asymmetric ear shape
• Those with ear deformities due to trauma

Surgical Techniques (Otoplasty)

Antihelix Formation (Suture Techniques)

• Performed through an incision behind the ear
• The antihelix fold is recreated with aesthetic sutures
• One of the most commonly applied methods

Conchal Reduction

• Applied when the concha is excessively deep
• Helps position the ear closer to the head

Combined Techniques

• Multiple techniques are often used together in most patients
• Special planning according to ear anatomy is applied

Goals of Otoplasty

• Reduce the angle of the ears relative to the head
• Create natural ear folds
• Ensure ear–face harmony
• Achieve a symmetric and natural appearance

Surgery Process

• General anesthesia is typically used in children
• Adults: local + sedation or general anesthesia
• Duration: 60–90 minutes
• Incisions are made behind the ear, invisible from the outside

Postoperative Recovery

• Swelling and sensitivity are normal in the first days
• Protective ear bandages are applied
• Bandage removed after 1 week
• Use of a headband (tennis band) recommended for 3–4 weeks
• Return to school or work possible within 1 week

Possible Risks and Complications

• Hematoma
• Infection
• Asymmetry
• Suture opening
• Rare recurrence of prominent ear (relapse)

Durability of Otoplasty Results

• Results are generally permanent
• Recurrence is rare once ear development is complete
• Changes may occur due to trauma or severe tissue damage

Otoplasty in Children

• Optimal age: 5–6 years
• Performing before school provides psychosocial benefits
• Ear development is largely completed