 |
Ears
that appear to stick out or are overly large
can be helped by ear surgery. |
Otoplasty is the
surgical procedure to reduce prominent ears. This
operation is often performed on children, however;
adults are candidates as well. This surgery can help
balance the ears with other facial features.
With every surgery there are possible risks and complications:
Dr. Yaker performs many otoplasties successfully each year. However; there are risks associated with this surgery. Possible complications following surgery include infection, bleeding, poor healing, scar
tissue, and possible reaction to anesthesia. Smoking
increases the risk of complications during the healing
process. |
About the Surgery:
Dr. Yaker works through an incision in the back of the
ear to expose the ear cartilage. He then sculpts the
cartilage and bends it back toward the head.
Absorbable sutures may be used to help secure the new
position of the ears. Dr. Yaker would consult with you
prior to surgery to discuss the technique that will
give you the best result. Following surgery a bandage
will wrap around the head to protect the ears, this
bandage will be removed within a few days after
surgery. A head band or gauze wrap will need to be
worn 7-10 days after surgery, to help hold the ears in
position during the healing process. Generally a faint
scar is left, and will fade over time. Often surgery
is performed on both ears to achieve proper balance.
 |
Creating
a fold in the cartilage makes the ear lie
flatter against the head and appear more normal. |
Illustrations
above are courtesy of
ASPS (The American Society of Plastic Surgeons)
(The
American Society for Aesthetic Plastic
Surgery, Inc.)
Pre-Operative
Instructions
For Otoplasty
2 Weeks Before
Surgery:
- Do not take aspirin
or ibuprofen products (You may take Tylenol).
- Do not take any
diet pills or similar appetite suppressant
medications, (i.e. Metabolife).
- Do not take any
herbal preparations, (i.e. St. Johns Wart).
- Do not take Vitamin
E
- Do Not Smoke - This
will interfere with the circulation and healing
process causing major complications.
Products Needed at
Home:
- Fill your
prescriptions given to you during your pre-op
visit:
- Percocet, Lortab,
or Dilaudid is for pain
- Keflex is an
antibiotic (you will need to take all of these as
directed)
Extra-strength Tylenol
Benadryl 25mg - For Occasional Itching
The Night Prior to
Surgery:
- Eat a bland meal -
Nothing Spicy
- Take a Pepcid AC
before going to bed
The Day of the
Surgery:
**Eating
or Drinking Prior To Surgery Will Result in
Cancellation of the Surgery**
- Wear loose
clothing, something very easy to put on after
surgery. Do not wear jeans or tight clothing. Wear
a top that zips or buttons in the front.
- Do not wear
make-up.
- Leave all jewelry
and valuables at home.
- The person caring
for you after surgery will need to stay with you
for at least 24-48 hours.
Post-Operative
Instructions
For Otoplasty
Medications:
- Take your pain
medications for the pain. Do not take it on an
empty stomach.
- Take the
antibiotics as directed until they are all gone
- Sometimes patients
will develop a yeast infection from the
antibiotics, if this occurs call the office
- Should you become
constipated, you may use an over the counter stool
softener. If you do not have relief from your
stool softener, call the office.
- Should you have
itching, take Benadryl 25mg one tablet every 4-6
hours as needed.
- Remember no aspirin
products until 2 weeks after surgery.
Other Things to
Remember:
- If you feel you
are in an emergency situation, please call the
office at any time. Our phones are answered 24
hours a day. These calls include: abnormal
bleeding, abnormal swelling, or a temperature
over 101 degrees. Other calls should be made
during business hours Monday - Friday 9:00a.m. -
5:00p.m.
- Oozing from the
surgical site on the bandage in small amounts is
normal. Should the bandage become completely
saturated, call the office.
- A bandage will be
worn around the head for 7 days.
- Do not swim for
3-4 weeks. The incisions need to be entirely
healed, in order to prevent infection in the
surgical site.
- Most patients
take off a week from work.
- Do not drive for
5-7 days. If you are still on pain medication,
do not drive until these are discontinued
- Most patients
find placing pillows behind their back, to prop
up the head, helps reduce pain and swelling as
well as making it more comfortable to rest.
- After the head
dressing is removed, one week following surgery,
you will wear a sweat band or head band, which
is wide enough to hold the ears in proper
position, for the next two weeks.
- Patients are
encouraged to massage lotions containing Aloe
Vera or Vitamin E on the scars to help during
the healing process, once all of the sutures
have been removed.
- Keep activity
moderate for the first 3 weeks. After 3 weeks
you may ride a life cycle, take walks, and lift
light (5-8lbs) arm weights. After 4 weeks you
may resume normal activities as tolerated.
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