Otoplasty
摘要
Otoplasty is a commonly performed aesthetic procedure in pediatric population. The goal of treatment is normal appearance of ears without evidence of surgery. Prominent ears are of great emotional importance for children. Despite that this is an elective procedure, there is a risk following this operation especially when it is performed in general anesthesia. In majority of cases, parents are involved in decision making regarding surgical treatment for their child. The auricle is fully shaped at birth and it is nearly adult size by age 5 or 6 years, and from this age, surgery of prominent ears can be performed. Treatment of prominent ears can be generally divided in surgical and nonsurgical. Surgery is mostly performed after 5 years of age. There are a large number of surgical techniques, and they can be roughly classified as pure stitching techniques, pure incision techniques, and combined stitching-incision techniques. Nonsurgical treatment (ear molding by splinting) should be started early after birth. Incisionless otoplasty is applicable to almost all types of prominent ears. Complications following otoplasty occur in approximately 10%, and they are mostly presented as recurrence, overcorrection or under correction, asymmetry, infection, and hematoma.