Otoplasty

    What is otoplasty?

    Otoplasty is the surgical reshaping of the external ear, used most commonly for prominent ear deformity. However otoplasty is also used to treat a variety of conditions affecting the external shape of the ear.


    When is otoplasty performed?

    Otoplasty is typically performed around 5-6 years of age when the ears are almost fully grown but before the age of social distress about differences.  However the operation can still be performed into the teenage years and even into adulthood if the patient chooses.


    Otoplasty Before and After

    15-year-old female with bilateral prominent ears: Pre-op and 4 months postop.

    15-year-old female with bilateral prominent ears:
    Pre-op and 4 months Post-op

    13-year-old Male with bilateral prominent ears. Pre-op and 3 months Post-op

    13-year-old Male with bilateral prominent ears.
    Pre-op and 3 months Post-op

    6-year-old Male with bilateral prominent ears. Pre-op and 4 months Post-op

    6-year-old Male with bilateral prominent ears.
    Pre-op and 4 months Post-op





    Does otoplasty affect my child’s hearing?

    No.  The shape of the external ear has very little impact on hearing.    In general, children with prominent ears have normal hearing and correction of the external ear shape will neither improve nor worsen their hearing.


    How is otoplasty done?

    Otoplasty can be done by

    • incising through the back of the ear and reshaping the cartilage, 
    • inserting internal stitches through the skin into the ear cartilage to reshape it (also called “percutaneous pinning”),
    • Or a combination of the two. 

    Otoplasty can also involve transplanting cartilage from other places in the body, typically rib cartilage.

    Depending on the nature of the deformity, your Plastic Surgery doctor will determine which method will best address your child’s needs. 


    Otoplasty post op wound care:

    Gently wash the ear wounds with mild soap and water and apply over-the-counter antibiotic ointment 3-4 times a day for that first week.

    Headbands

    Following otoplasty, your child will be required to wear a headband over their ears to protect them as they heal.  Headbands can be purchased at most major stores such as Walmart or ordered online through sites like Amazon.  They need to be cloth and fit snug.  Sports headbands work well. 

    Your child will wear the headband as follows:

    • Wear it 24 hours a day for 6 weeks (may remove for showers). 
    • Then your child will wear it only at night for 6 more weeks.

    East Tennessee Children's Hospital
    Pediatric Plastic and Reconstructive Surgery

    865-824-4939
    Medical Office Building, Suite 510
    2100 Clinch Ave.
    Knoxville TN 37916
    (Directions)

    Facebook

    Hours
    • Monday: 8am - 4:30pm
    • Tuesday: 8am - 4:30pm
    • Wednesday: 8am - 4:30pm
    • Thursday: 8am - 4:30pm
    • Friday: 8am - 12pm
    • Saturday: CLOSED
    • Sunday: CLOSED