Prominent Ear Deformity Correction:
A Comprehensive Guide
Introduction
Prominent ear deformity, commonly known as “bat ears,” affects approximately 5% of the population worldwide. While often a cosmetic concern, it can impact self-esteem and social interactions. In this article, we explore the indications, contraindications, optimal age for correction, and post-operative care for prominent ear deformities.
Indications for Correction
Prominent Ears: Ears that protrude more than 2 centimeters from the side of the head.
Constricted Ears (Lop/Cup Ears): The upper rim of the ear is tight, wrinkled, or folded over.
Microtia: Underdevelopment of the outer ear.
Anotia: Complete absence of the ear.
Cryptotia: Ear cartilage partially buried under the skin.
Stahl’s Ear: Pointed shape with an additional fold of cartilage on the outer ear.
Earlobe Deformities: Including double earlobes and cleft earlobes.
Accessory Tragus (Ear Tags): Cartilage and skin growths near the ear.
Contraindications
Age: Surgical correction is typically not recommended before the age of 3 to 7 years. However, non-surgical methods can be used in infants.
Medical Conditions: Patients with bleeding disorders or uncontrolled medical conditions may not be suitable candidates.
Psychological Readiness: Consider the child’s emotional readiness for surgery.
Impact on the Child
Psychological Well-Being: Children with prominent ear deformities may experience self-consciousness, anxiety, and social avoidance.
Hearing: Most ear deformities do not affect hearing. However, conditions like microtia or aural atresia can lead to conductive hearing loss.
Pre-Operative Instructions
Medications: Minimize anti-inflammatory medications (except Tylenol) one week before surgery.
Fasting: No food or drink after midnight before surgery.
Transport: Arrange for someone to drive you home after surgery.
Pain Management: Expect moderate pain initially, managed with pain medications.
Wound Care: Protect the ears against bending or folding for 6 weeks using a headband.
Post-Operative Instructions
Dressing: A tight dressing will be placed over the ears initially.
Drainage: Some bloody drainage is common; soft drains may be used.
Bathing/Showering: Avoid wetting the ears for the first week.
Activity: Avoid strenuous activities for 2-3 weeks.
Follow-Up: Schedule a follow-up appointment within 3-8 days after surgery.
Remember, each child’s experience may vary, so follow personalized instructions from your surgeon for the best results. Early intervention ensures optimal outcomes and boosts self-esteem, leaving children feeling more confident and comfortable with their appearance.
We are your partners in through change.
Book your consultation with Dr.Shatha now 
