Learn about Prominent Ear Correction: Recovery and Possible Complications

Hello! My name is Adrian Richards. Thank you very much for taking the time today to watch this video, which I am going to be talking about the recovery period following prominent ear correction and the bandages used.

So as I mentioned in the previous video about prominent ear correction, the operation will either be performed under local anaesthetic, twilight anaesthetic which is local anaesthetic when you are a bit sleepy as well, or full general anaesthetic and that's really your preference.

So following the operation, the surgeon will close the skin behind the ear with a stitch, and I tend to use an absorbable stitch which doesn't need to be removed, other surgeons may use stitches which need to be removed, but you need to discuss whether they need to be removed or not with your surgeon.

The dressings are quite important from the following prominent ear correction and these are really used to hold the ear and just stabilize it while you sleep in the first few days following surgery.

Now with the anterior scoring methods that we used to use, the anterior scoring method is best known as the Chong-Chet procedure. So that's an older technique which some surgeons use. If they're using that technique, it's very important to keep pressure on the ear to prevent any blood collecting in the front of the ear.

So in the older techniques, the dressings need to be on for longer and they need to be tighter and are more crucial to the outcome. With the more modern posterior approaches the dressings aren't quite as crucial as they were. So if you are having an anterior scoring technique, most surgeons would like the dressings on for a minimum of five days and probably seven days and these dressings can either be a bulky crepe bandage around your head, or some surgeons will prefer a sort of velcro type cap to wear.

So all surgeons vary. It's not unusual for some people to like you to keep your dressings on for a week. I tend to use the posterior technique as I previously discussed because I think it's safer and I'm not so insistent on how long the dressings stay intact because the dressings aren't quite as crucial in this posterior technique.

So I would sew the skin up at the back with an absorbable stitch and actually fairly enough glue the ear back using a tissue glue we use for cuts, glue the ear back just to the scalp like that so it's sort of held there, and that prevents the ear being sort of moved or dislodged in the early post-operative period and that glue basically separates after about a week and the ear will then ping forward.

I do like to use light dressings, but as I say they are not so crucial for the outcome of the operation so I like to use light dressings and I normally like to keep them on two to three days just to sort of give a bit of stability to the ear in that initial period.

Following when the dressings are removed, most surgeons would like you to wear some sort of head bandage, either a crepe of just you know just like a John McEnroe type tennis sweat band around the ears, just at night, just to protect the ears. So if you turn at night, so it's just to prevent you from sort of flicking the ears at night, but as I say, no dressings in the day after two or three days.

So what complications can you get following operation?

Well we've got to remember it is an anaesthetic, if you decided on the general anaesthetic route there are potential problems with general anaesthetics, but modern anaesthetics if you are fit and healthy they are very, very safe.

Local anaesthetics are probably safer, but obviously you've got to be prepared to lie for an hour white someone is operating on your ear and actually the noise from an ear can be quite disturbing for some people because it is sort of magnified.

So complications?

Well bleeding is always a risk and that's particularly important with the anterior scoring method, because if you get any blood collecting between the skin and the gristly cartilage of the ear in the front, that can form a cauliflower ear like the rugby players get which is very, very difficult to treat. So bleeding is a possibility and that's normally characterized by discomfort within the dressing.

So if you are having an anterior scoring technique and your ears become very uncomfortable you need to have them checked before a week, so the dressing needs to be removed and your ears checked because if any blood is collecting it needs to be removed.

An infection of the ear is very uncommon, but it is potentially serious because if you get an infection in the gristly cartilage of the ear, it's very difficult to eradicate because there is very little blood supply to the cartilage and the antibiotics are carried by the blood, so any area like bone, cartilage which doesn't have a big blood supply and won't get a lot of antibiotics and infections are difficult to treat.

So if you do get any problems, if you feel hot, cold, the ear feels uncomfortable, any problems like that you need to let your surgeon know really very early so they can get antibiotics on board to help cure that.

Then main sort of medical complications, more longer complications would be dissatisfaction with the ear, maybe one not being quite back as much as the other ear, maybe one being slightly more prominent in the upper portion or an ear lobe being slightly more prominent.

If you do get those they're normally relatively easy to correct with minor revision and most surgeons will have a surgical package policy whereas if you do need a minor tweak, minor modification within a year that should be at no cost to you.

So if you are discussing with your surgeon, it is important to be upfront and talk to them about if you do need a revision are there going to be any costs associated with that?

So in summary, prominent ear correction is a good operation. You need to consider whether it's for you, whether you think your ears are bad enough and to be as well informed as possible about the operation. Different techniques are good to discuss with your surgeon and a recovery period.

So I hope that's been helpful. Thank you very much for listening to this video. If you would like any more information about prominent ear correction or any other topics mentioned please contact us via email at aurora-clinics.co.uk or by phoning us on 01844 214362.

We do offer complimentary consultations with our surgeons and we would love to see you if you feel like this procedure might be for you.

Thanks very much for listening and we look forward to seeing you soon!


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