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Auriculoplasty

This is a surgical repair, restoration, or alteration of the auricle of the ear (also see reconstructive auriculoplasty). In most cases the alteration of the auricle is highly demanded due to the cupped ears. Besides the cupped ears, there are other types of defects (earlobe, anthelix and helix), which require different types of corrective procedures. Auriculoplasty does not affect the hearing.

It is widely known that sometimes cupped ears  often cause complex of inferiority in children or adults. The first auriculoplasty of cupped ears was performed in 1880 by Eduard Tablot Eli in New York. The operation was performed on a 11-year old child (picture 1). 


Picture 1Drawing by Eduard Tablot Eli. 

In most cases the cup-shaped ears form in the first months from birth. At the age of 5, the ear shape is fully formed and auriculoplasty can be performed. 

Auriculoplasty is indicated for cupped ears. Underdeveloped antihelix is also widely spread, other deformations on any part of the ear. 

The operation is performed using general or local anesthesia based on the patient’s decision.

The duration of the operation is 1 – 1.5 hours.  

During the operation of a cupped ear, the incision is made in the back of the year and the scar stays unnoticed after the operation. During the operation, either part of the shell is resected or fixating sutures are made.  Finally excessive skin is removed and cosmetic stitches are applied.

   If the operation is performed to correct the underdeveloped antihelix, the incision is made in antihelix area and the antihelix borders in the middle (medially) to the rim of the concha (shell) and the concha proper are applied special sutures, which support the formation of an antihelix.  

After the surgery, the otoplasty patient wears a voluminous, non-compressive dressing upon the corrected ear(s), which should be worn for 2-3 weeks.

The patient is released from the hospital in several hours and remains on outpatient treatment.

The patients are allowed to go back to work in 2 days after the surgery.

Sutures are removed in 10-12 days after the operation. Some side effects are reduced sensitivity of ear shell and swelling for 2-3 weeks.

Final outcome of the operation is evident in 2-3 months from the surgery.

Physical activity does not need to be reduced. Scars do not stay.
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