Formation of the auricle

One of the causes of hearing loss is pathological modifications of the auricles. In turn, protruding ears and other aesthetic defects of external organs also pose a serious problem, giving rise to many complexes. And if girls can still hide ugly ears under long hair, then men have to put up with their public visibility. Elimination of anatomical deficiencies and the formation of aesthetically correct proportions of the ears are the main tasks for otoplasty.

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Aesthetic standards

Generally accepted aesthetic standards interpret the size and location of the ear according to the following indicators:

  • The upper junction of the auricle corresponds to the level of the outer corner of the eye, the lower one is projected in line with the tip of the nose
  • In an adult, the average ear size is 6.5 cm in length, 3.5 cm in width, and 1.5-2 cm in the lobe
  • The angle of deviation of the auricle from the plane of the head is no more than 30°
Aesthetic standards

Types of deformations

Ear deformities are various forms of non-compliance with specified criteria and are divided into congenital and acquired. The first include:

  • Anotia (complete absence of the external ear). Often accompanied by fusion of the auditory canal and significant hearing loss up to deafness
  • Microtia (underdevelopment of the entire ear). The pathology is diagnosed with preservation of the ear canal or with its atresia
  • Hypoplasia of the middle part of the outer ear
  • Underdevelopment of the upper sector of the auricle. Here the following are possible: a rolled ear (bending of the helix towards the face), an ingrown ear (fusion of the back of the upper part and the scalp), complete hypoplasia with the absence of the upper parts of the helix, antihelix, as well as the triangular and scaphoid fossa
  • Protruding ears (protruding ears)

Acquired modifications: ruptures, burns, frostbite, perforation - most often appear as a result of injuries. The formation of keloid scars is a consequence piercing, development of oncology, flattened ears are often the result of professional sports, perichondritis.

A child’s congenital hearing defects often lead to deaf-muteness or speech delay. With stenosis of the auditory canal, inflammatory diseases recur: otitis media, myringitis, etc., often becoming chronic. Mental disorders also develop against the backdrop of difficulties in adapting to society. An adult can also become a victim of severe depression and other psycho-emotional pathologies.

Recommendations for otoplasty

Indications for surgery

Complete or partial absence of an ear, the presence of underdevelopment or protruding ears is a reason for surgical treatment. In most cases this is the only way out. If the goal is to eliminate pathological formations with subsequent restoration of the correct anatomy of the hearing organs, then this is a variant of reconstructive otoplasty.

Aesthetic surgery is performed at the request of the patient, for example, plastic surgery of the earlobe or correction of cupped ears.

You can contact a surgeon after 6 years. By this age, the process of ear formation is completely completed.

Contraindications

Otoplasty is an opportunity to correct congenital and acquired defects of the outer ear, which significantly complicate normal life. However, ear surgery is not suitable for everyone. Absolute contraindications are:

  • Inflammation of ear structures
  • Chronic diseases in the active stage
  • Disorders of the endocrine and immune systems
  • Presence of a malignant tumor
  • Blood pathologies

Relative reasons include menstruation, pregnancy and lactation.

General information about the procedure

Preparation

After an examination and medical history, the plastic surgeon decides on the most appropriate type of ear surgery. In some cases, in preschool children, it is advisable to resort to a non-surgical method of eliminating protruding ears using ear correctors. If treatment does not bring the expected results, reconstructive surgery is used.

Before the operation, the patient must undergo blood tests (general, biochemical), urine, and obtain data from a coalogram, ECG, and FLG. Consultations with specialized specialists may be required: therapist, anesthesiologist, etc.

Two weeks before surgery, you should stop taking blood thinning medications.

The choice of anesthesia is determined by the doctor, based on the physiological characteristics of the patient and the scope of the intervention. In children, otoplasty is performed under general anesthesia. The day before, the child should limit food and drink intake.

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How is the operation performed?

Plastic surgery on the ears is performed using cartilage or suture plastic surgery. In the first case, autografts taken from the cartilage tissue of the patient’s own ribs or synthetic implants are used. The formed frame is placed into the skin cavity, restoring the anatomical shape of the auricle. No earlier than 2-3 months later, the lobe is formed. Then, after another 8 weeks, the behind-the-ear area is corrected. The chain of step-by-step surgery is completed by modeling the tragus and cosmetic correction of the recreated auricle.

Cartilaginous otoplasty of the ears presents a certain complexity. Firstly, the surgeon must have considerable experience in order to reconstruct the natural shape of the ear with anatomical accuracy. Secondly, surgery is a difficult ordeal for the patient, which will have to be overcome more than once to get the desired result.

Suture surgery is used to correct protruding ears. An incision is made on the back of the ear through which excess cartilage is removed. Then the auricle is positioned at the desired angle and fixed with sutures.

To carry out the intervention, a regular medical scalpel or a more technologically advanced laser beam is used. The latter is more preferable, because provides the doctor with the opportunity to most accurately influence tissue and significantly reduces operating time. In addition, laser incisions virtually eliminate bleeding and do not leave rough scars or other complications.

After the manipulation is completed, a fixing bandage is applied to the surgical area.

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Rehabilitation

After local anesthesia, the patient can leave the clinic after 2-3 hours. If otoplasty was performed under general anesthesia, daily medical supervision will be required.

The stitches are removed on the 10th day. Until this time, you need to constantly wear a bandage, regularly come to the hospital for antiseptic treatment and replacement of the retainer. Antibacterial therapy is prescribed to stop inflammatory processes.

The fixation bandage must be worn at night for a month after the stitches are removed. It will protect the ears from possible damage and will promote rapid tissue healing.

During the rehabilitation period after plastic surgery, visiting baths, saunas, playing sports and other physical activities, and staying in the open sun are excluded.

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Otoplasty at the K+31 clinic

Plastic surgeons of the center are professionals in their field, performing any type of reconstructive and aesthetic correction of the ears. Modern multifunctional equipment and high-quality surgical instruments allow you to perform the operation quickly and safely, minimizing the recovery time. You can find out about the cost of otoplasty in Moscow by contacting the reception desk or on the clinic’s website.

Otoplasty at the K+31 clinic
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Price

Primary appointment with a plastic surgeon
from 7 500 ₽
Repeated appointment with a plastic surgeon
from 6 700 ₽

Reviews 10

Проходила операцию по поводу фиброаденомы молочной железы у Ивана Александровича, и он впечатлил меня на всех этапах: от диагностики и консультации до подготовки к операции и внимательного наблюдения после неё. Его аккуратность в перевязках, готовность помочь и внимание к восстановлению — это настоящий эталон для врача. Операция была проведена настолько профессионально и ювелирно, что иногда даже другие врачи не могут сразу найти шов! Огромная благодарность! Если вы выбираете врача, могу смело рекомендовать Ивана Александровича.
02.03.2025
Софья К.
Уважаемый Шерали Раджабалиевич! Огромное спасибо за быстрое, четкое и безболезненное удаление фиброаденомы из груди. Все прошло очень быстро и психологически комфортно, после операции я даже не потребовала обезболивающих. Вы внимательно и чутко отнеслись к моим просьбам, и я безмерно благодарна за то, как гладко прошел весь процесс. Шов получился аккуратный, ровный и зажил без проблем. Два разных врача на перевязках сделали комплимент вашему мастерству! Желаю вам всего наилучшего и удачи в вашей работе!
20.02.2025
Екатерина Ч.
Рак правой молочной железы — операцию проводил Иван Александрович. Это действительно врач от Бога, с золотыми руками! Работа на высшем уровне, швов почти не видно, все сделано ювелирно. Он очень внимателен, даже когда был уставшим после нескольких операций, приходил в палату по несколько раз, чтобы узнать, как я себя чувствую. Желаю, чтобы таких врачей было больше!
15.02.2025
Ксения З
В марте 2021 года я прошла операцию по удалению фиброаденомы молочной железы у Ивана Александровича. Спустя время с уверенностью могу сказать, что он — настоящий профессионал своего дела, врач с «большой буквы». Во-первых, его советы всегда по существу, подкреплены как практическим опытом, так и теоретическими знаниями. Во-вторых, операция прошла успешно, практически безболезненно, а шов после неё получился очень аккуратным. В-третьих, Иван Александрович всегда относился ко мне с дружелюбием, с улыбкой объясняя все детали. Желаю ему огромных жизненных успехов и выражаю благодарность от его пациентов. Также хочу поблагодарить весь профессиональный и дружелюбный коллектив первой онкологической больницы — здоровья вам и новых побед!
24.01.2025
Василиса М.
Моя мама попала в руки Ивана Александровича для частичной резекции молочной железы с диагнозом "карцинома 2 стадии", и это оказалось настоящим подарком судьбы. Иван Александрович — не только высококлассный профессионал, но и невероятно чуткий человек, который всегда внимательно относится к каждому пациенту. Огромное спасибо ему за операцию высочайшего уровня, за внимательное послеоперационное наблюдение, подробные консультации и его доброе сердце.
30.12.2024
Полина З.
Я обратилась за помощью к Шерали Раджабалиевичу и с большим удовольствием выражаю благодарность за операцию по удалению листовидной опухоли, к счастью, доброкачественной. Операция прошла 29 августа, и шва практически не видно, не было никаких осложнений. На перевязке сказали, что шов выполнен настоящим профессионалом! Внимание к пациенту было на 100%, он ответил на все мои вопросы. Очень рада, что попала именно к нему!
19.12.2024
Елизавета С.
Я обратилась к доктору Воленко Ивану Александровичу с диагнозом онкологии молочных желёз. Операция была проведена 31.01.23, и я благодарна этому замечательному врачу за его профессионализм и внимательное, чуткое отношение к пациентам. Благодаря Ивану Александровичу, я чувствую себя прекрасно, несмотря на диагноз и мой возраст (71 год). Хочу пожелать ему всего наилучшего и успехов в его трудной, но такой важной работе, которая возвращает людям здоровье и радость жизни!
07.12.2024
Алия П.
Выражаю искреннюю благодарность хирургу-онкологу Джамилову Шерали Раджабалиевичу за внимание и помощь, оказанную мне в период пребывания в стационаре с 26 апреля по 02 мая 2024 года. Огромное спасибо за проведённую операцию 27 апреля 2024 года, которая была выполнена на высочайшем профессиональном уровне. Благодарна за его золотые руки, доброе сердце, внимание и отзывчивость! Желаю вам крепкого здоровья и успехов в вашем благородном деле!
02.12.2024
Вера К.
I was admitted to the clinic with carcinoma. I am happy that I ended up in the hands of Ivan Aleksandrovich. A very competent, attentive to the patient, and most importantly - an honest doctor. I received answers to all my questions and was offered several options for subsequent plastic surgery. The doctor came personally for dressings, after discharge I could always ask questions at subsequent dressings. If you have a choice and have the opportunity to go to Ivan Aleksandrovich - know that you are in reliable and good hands.
01.08.2024
Elizaveta Igorevna
I had surgery in this clinic with Mitoyan Ruzanna Yesaievna, the doctor made an impression from the first appointment. During the consultation, everything was explained in detail about how it goes, what is needed for the operation to take place, and what recovery is like. I received very competent answers to all my questions, I compare with other clinics where I consulted, they wanted to impose such a feeling more than anything else. I really liked her delicacy, attentiveness, charge with calm and confidence. On February 22, 2024, I had upper blepharoplasty, the operation went perfectly, the postoperative period was easy, I followed all the recommendations and no problems arose, there were almost no bruises or swelling and everything healed very quickly. I want to express my deep gratitude to you for your professionalism and light hand! I was delighted with my eyes! It’s been a long time since my look has been so fresh and not overweight. And another miracle that you did - you saved all my colored permanent makeup on my eyelids!
08.04.2024
Lokotko Elena Borisovna
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