: Admin : 2022-04-08

An abnormal growth on the outer layer of the ear, which may look likea lump, swollen and may or may not be painful on touching or applying pressure, is an external pinna growth.

A Pinna growth may be excised by a surgical procedure called Otoplasty.

How can a Pinna growth be excised?

A Pinna growth may be excised by a surgical procedure called Otoplasty. Otoplasty denotes surgical and non-surgical procedures that correct deformities or can alter the dimensions and proportions of the ear such as shape, size, position, abnormalities etc.

Why would one choose to have an otoplasty?

An octoplasty is usually done for your auricle. When the auricle doesn’t develop properly, you may choose to have otoplasty to correct the size, positioning, or shape of your ears. It is also majorly done to remove growths on the pinna. This cosmetic procedure has several different types like:-

• Ear Augmentation – to completely develop small ears  or increase size of outer ears.
• Ear Pinning – This is performed for indivisuals whose ears prominently stick out to their head. This cosmetic surgery draws the ears closed to the skull.
• Ear Reduction – Larger than normal ears (Macrotia) can be reduced by ear reduction otoplasty.

What are the risks of otoplasty?

Like every surgical procedure, otoplasty has several risks like:-

• Scarring – the cuts during the surgical procedure may leave scars, though not in plain sight (behind the ears)
• Asymmetry – if an inexperienced surgeon performs the surgery, then the ears may not be symmetrical,  or unequal on both sides and may require additional surgery.
• Allergic reactions – your body can have allergic reactions to different substsnces used during the procedure. To avoid such complications, be sure to inform your surgeon of your allergies.
• Problems with stitches - Stitches used to secure the ear's new shape might work their way to the surface of the skin and need to be removed. This can cause inflammation of the affected skin. As a result, you might need additional surgery.
• Overcorrection - Otoplasty can create unnatural contours that make ears appear to be pinned back.

How to prepare for an otoplasty?

The ears need to be fully developed for an otoplasty, which is mostly after the age of 5. The surgeon will go through any previous medical records. The surgeon will do a physical check-up of the patient’s ears and will discuss what thepatient wants to do with the ears down to inches. He will make sure that the patient is strong enough to make a full recovery after the procedure and has support. He might also run a few tests to optimize the information in the best way for the surgery. Once the patient passes all the tests he will be instructed to not eat anything the night before surgery. This is done to ensure no complications (like throwing up) occur         after administration of anesthesia. The surgery will usually last 1-3 hours unless there are any complications and depending on the type of procedure the patient has opted for. The patient may be discharged on the same day or the coming day, depending on his health and recovery. Don’t be afraid to ask questions if something is unclear or you feel like you need more information. It’s also recommended to ask questions about your surgeon’s qualifications and years of experience.

What is expected during the procedure?

The specific surgical technique that’s used will depend on the type of otoplasty you’re having. Generally speaking, otoplasty involves:

• Making an incision, either on the back of your ear or inside the folds of your ear.
• Manipulating the tissue of the ear, which can include removal of cartilage or skin, folding and shaping of cartilage with permanent stitches, or grafting of cartilage to the ear.
• Closing the incisions with stitches.

What aftercare should be practised after an otoplasty?

After the surgery, the patient will wake up with a dressing on the ears. It is important to change the dressing regularly, as per your surgeon's instructions. The surgeon will give you specific instructions on how to care for your surgical site and stitches. You may need to come back over time to remove them in case they are not dissolvable. Sore, itchy and tender ears are normal during the recovery period. There may be a little bruising, swelling and numbness which will reduce over time.

It is extremely important to avoid scratching or constant touching to the years. It is advised to find a comfortable sleeping position that does not put any pressure on the years and clothes that are not worn over the head are also advised.

Your dressing will stay in place for about a week. After it’s removed, you’ll need to wear an elastic headband for about 4-6 weeks. You can wear this headband at night. Your doctor will let you know when you can return to various activities.