Among the eastern nations, ears that are taboo to westerners are still regarded by some as positive symbols of success, happiness and wealth, and more importantly, they are regarded as symbols of children's intelligence. So although ear flaps are very common in China, few people ask for treatment. However, in western countries, the situation is completely different. Children with ears are considered unlucky or not smart. On the contrary, it often becomes the object of ridicule by peers, and the constant nicknames such as "donkey ears" and "rabbit ears" cause psychological and spiritual pressure on children.
Indications of ear flap plastic surgery: ear flap plastic surgery has little trauma. Generally speaking, patients who want to improve the shape of auricle can have surgery. In order not to affect the normal psychological development of children, surgery can generally be performed at the age of 5-6. At this time, the auricle is only a few millimeters away from the adult, and the operation has little effect on its development. Bilateral auricle plastic surgery should be completed in one operation.
Contraindications of ear flap plastic surgery: patients with acute and chronic otitis media should have middle ear surgery first, and those with scar hyperplasia should not have surgery.
Postoperative treatment and precautions: antibiotics are usually used for 3-5 days, and the dressing is opened and the stitches are removed about 10 days after operation. Avoid irritating foods such as ginger, raw onions, raw garlic, peppers and seafood. Pressing and hitting the ear should be avoided in the near future after operation to avoid suture breakage.
Plastic surgery of cup-shaped ear
Cup-shaped ear is a kind of congenital malformation between wind ear and small ear, accounting for about 10% of all kinds of congenital ear malformations. Bilateral is common, but the left and right sides are not necessarily symmetrical, and there is a certain heredity.
Cup-shaped ears have four main characteristics:
The auricle of 1 is curly. In the light case, the spiral is folded by itself. In severe cases, the whole auricle droops to cover the ear hole.
The auricle leans forward, that is, the ear of the wind, but it is different from the deformity of the ear of the wind.
3 auricle becomes smaller, mainly because the length of auricle becomes shorter.
4 auricle position is low, which is more obvious in severe cases, often accompanied by maxillofacial deformity.
Cup-shaped ears are also often called curled ears, drooping ears and so on. Because it looks like a rope has been put on the edge of the spiral to tighten it. Therefore, some people call it a shrink ring ear.
Indications for plastic surgery of cup-shaped ear: The deformity of cup-shaped ear has a great influence on appearance and wearing glasses. Therefore, it is generally necessary to have plastic surgery. If the auricle droops to cover the mouth of the external auditory canal, it should be operated as soon as possible to avoid affecting hearing. Generally, surgery can be performed after the age of 6, and both sides can be completed in one operation. For severe maxillofacial deformities, a comprehensive treatment plan should be formulated from the overall consideration.
Indications of cup-shaped ear plastic surgery: people with scar constitution are not suitable for surgery.
Postoperative treatment and precautions: antibiotics are usually used for 3-5 days, and the dressing is opened and the stitches are removed about 10 days after operation. Avoid irritating foods such as ginger, raw onions, raw garlic, peppers and seafood. Pressing and hitting the ear should be avoided in the near future after operation to avoid suture breakage.
Plastic surgery for small ears or no ears
Congenital microtia is an imprecise term, which generally refers to severe auricle hypoplasia. Often accompanied by atresia of external auditory canal, middle ear deformity and maxillofacial deformity. Its incidence rate is about 1: 7000, which is more common in men and on the right side, and both sides are less than 10%.
Indications: For bilateral microtia with external auditory canal atresia, patients should first consider external auditory canal and middle ear surgery to improve their hearing. For unilateral microtia with atresia of external auditory canal, auricle reconstruction should be carried out first. In the future, we will decide whether to have middle ear surgery according to our needs. If conditions permit, auricle reconstruction and middle ear surgery can also be combined.
For patients with microtia and severe maxillofacial deformities, maxillofacial plastic surgery should be performed first. Otherwise, the reconstructed ear cannot be placed in the proper position.
Auricular defect will seriously affect the normal psychological development of children. In order not to affect their psychological development, ear reconstruction surgery should be completed at school age, generally after 6 years old.
Contraindications to operation: Ear reconstruction is a difficult and complicated operation, so be careful. Old and infirm people should wear artificial ears, and it is not suitable for reoperation.
Postoperative treatment and matters needing attention: antibiotics are routinely used 3-5 days after operation, and stitches are removed to reconstruct the ear and posterior ear area in 12 days. After stitches are removed, it still needs to be bandaged for several days. When dressing, pay attention to packing the posterior auricular sulcus with gauze. All dressings can be removed three weeks after operation, and the hair on the edge of the helix should be carefully removed to avoid excessive pressure on the reconstructed ear within half a year. 12 days later, the suture should not be impacted by external force in a short time after operation.
Plastic surgery of hidden ear
Hidden ear, also known as buried ear and bag ear, is a congenital auricle development deformity. The main manifestation is that the upper part of the auricle is buried under the skin of the temporal scalp, and there is no obvious posterior auricular groove: pulling the upper part of the auricle outward with your fingers can reveal the whole auricle. This kind of deafness is more common in Japan, but less common in China. It is rare in Europe and America, and the deformity is mostly male. The ratio of male to female is about 2: 1, which is more common on the right. The left-right ratio is 2: 1, and bilateral malformation accounts for about 40%.
Indications for plastic surgery for hearing loss: Apart from having a certain impact on appearance, patients can't wear glasses because the upper part of auricle is buried under the skin and there is no otocranial groove, and water also flows into the ear canal when bathing, which brings inconvenience to life and should be treated as soon as possible. /kloc-infants under 0/year old can try non-surgical treatment, that is, make special corrective devices according to the shape of the upper part of the child's auricle. Then it is fixed on the upper part of the auricle to keep it in a pulling state, so that the tense skin there gradually relaxes and reveals the shape of the auricle. /kloc-surgery is required after 0/year old. Adults who require correction can generally have surgery, children need general anesthesia surgery, and bilateral patients can have one-time surgery.
Contraindications of plastic surgery for hidden ear: patients with ear ulcer should be operated after treatment, and frail elderly patients should use it with caution.
Postoperative treatment: antibiotics were used routinely for 3-5 days, stitches were removed about one week after skin flap operation, and stitches were removed 12 days after skin flap and skin graft operation, and there should be no external impact in the short term after operation.
Plastic surgery for earlobe deformity
Congenital earlobe deformity mainly includes earlobe adhesion and earlobe fissure, and acquired earlobe deformity mainly includes earlobe defect and earlobe fissure, which is caused by improper wearing of earrings.
Surgical indications: Although there is no dysfunction in earlobe deformity, it is necessary for patients who require earlobe plastic or reconstruction because earlobe is the part where earrings are worn.
Contraindications to surgery: those with scar hyperplasia are not suitable for surgery.
Postoperative treatment: use antibiotics regularly for 3-5 days, don't wear earrings for a short time, and don't be impacted by external forces.
Earring puncture
Earrings have been the representative of human decorations since ancient times. Ear nailing is a very small operation, generally without anesthesia. Although some non-medical units can even do it at home, it is generally not recommended to avoid earlobe infection.
The surgical methods of earlobe perforation are: 1 threading method, 2 perforating gun method and 3 laser method.
Complications of perforation of earlobe: The most common complication is earlobe infection. In case of infection, stitches or earrings must be removed immediately.
In severe cases, there will be an earlobe abscess. If there is an abscess, it must be cut and drained, and antibiotics should be applied.
The earlobe is the most common part of keloid, so people with keloid should wear ear holes.
Cleft earlobe is also a common complication. It is the best preventive measure to avoid being too close to the edge when piercing and choose smooth earrings with few hooks.
Common sense of prevention:
Patients with earlobe, both men and women, have a sense of discomfort and inferiority, which also has a certain impact on their families. Therefore, doctors, patients and their families must cooperate closely and make targeted treatment plans according to their specific characteristics in order to achieve satisfactory results.