Armando Boccieri - Gobba Nasale

The purpose of otoplasty is to reshape the ears and reposition them with respect to the head. The operation is performed most frequently to correct prominent ears, where excessive protrusion of the auricular pavilion impairs the general aesthetic appearance of the face. In anatomical terms, this defect can be due to various factors including an overly large auricular concha, a very open angle between the auricular pavilion and skull, and the absence of the natural fold of the antihelix. After careful examination and analysis of the patient to identify the defect and its causes as well as the most suitable procedures to be employed, otoplasty can provide a perfectly successful correction.

As this deformity often gives rise to psychological problems, its surgical correction can also take place in patients of school age. The operation is performed in conditions of local anaesthesia with sedation or general anaesthesia depending on age and the scale of the problem to be addressed. The surgical incisions are made on the posterior surface of the ear and the resulting scars thus remain invisible over time. The pavilion is brought closer to the head by removing a portion of auricular concha, sculpting the cartilage, or executing some sutures in the auricular cartilage, depending on the case in hand. After suturing of the skin, a moderately compressive dressing is applied for seven days.

Patients must not sleep on their side with the head resting on the ear during the postoperative period but on their back with the head higher than the body. Antibiotics are prescribed for a few days and painkillers as required. Foods that requires a lot of chewing should be avoided.

Otoplasty seldom presents complications and the results are generally lasting. Surgical retouching is rarely required and can in any case be performed under local anaesthetic.

This operation of plastic surgery does more than many others to give patients a great psychological boost by freeing them from a defect that often causes particular insecurity and awkwardness in interpersonal relations.

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