Surgery of the ears

Despite of the ears be complex and variables structures, they have an appearance that fits in a "normality standard".
The most common deformity is frequent cause of complex, mainly in the school age. On this, there is an increase of the internal cartilage rounded off (concha), of the angle escafo-conchal (between the concha and the head), the deletion of the fold internal of the ear (antihélix), being able to have also an increase of the ear lobe.
The surgery of the ear aims to correct the deformities of the ear, giving to that structure a similar aspect of a "normal" ear . It is indicated from the 4 years of age.

After anesthesia, an incision in the skin is done, in the subsequent region of the ears (the juncture of the ear with the head).
When the seashell is bigger than a normal one, a fragment in wedge of the same one is removed.
The cartilages from the antihélix region are worked (shavings, dissection and sutures), in a way that could be possible to fold them in direction to the head.
The bloody veins are cauterized.
A prudent suture is done, reconstructing the tissues.
The bandage is done and the head is bandaged up.

Habitually, 12 hours.

It´s usually tranquil. It is common occur swelling and wound in the ears. Those symptoms regress gradually during 15 to 30 days. A residual swelling persists here by until 6 months, being noticed by the patient as a hardening in the operated local. There is little or no pain. Any kind of trauma to the ears must be avoided, including sleep on them for 3 weeks.
A helmet (bandage of the head) is used in the first 24 hours. Subsequently, a facial streaks (elastic) is used uninterruptedly for 15 days and only for sleep for 45 days. Those streaks are utilized because they maintain the cartilages in the position that were put during the surgery.
The solar exposition must be avoided for 3 months (caps and solar protectors). The stitches are secluded between the 5th and 10th day of post-operatve.

The complications include post-operative bleeding, wound, infection, opening of the scar, change of the lower eyelid, between other. The rates are very reduced, when observed all the prescribed post-operative cares.
As all the surgeries, the anaesthetic and sistemic risks still exist. They have to be well should researched in pre-operative phase. Those complications has been less and less frequent with the evolution of the techniques and of the medicine.

Around a month occurs the reabsorption from 80% of the swelling, giving good notion of how the ears will stay.
From the 30th day to the 6th month, the ears earn bigger harmony and better consistency by the accomodation of the tissues and the scar.
The scars are only considered as definitive after the 12th month.

1. Food:
The food after surgery should be gentle to avoid nauseas. The next day, the diet is normal.

2. Positions:
The rest is relative, being bigger in the first day; subsequently, are necessary small walks inside home
Upon sleeping: always of belly for top (for three weeks), with a high pillow or cushion under the head. It put a wedge kind 02 bricks or 02 phone books under the feet of the head to elevate it in the 4 first days and, then, diminish the swelling.
Do exercises with the calf (roll the feet -10 times of each side) three times a day.
Do not it carry weight in the first fifteen days.
Do not low the head for catch objects.

3. Cares with the ears:
The facial streak should be used for 15 days without stops. Subsequently, can be used just for sleep, by more 30 days.
Do not wet the surgical scar for 10 days. In this period, the bath should be taken with a bonnet of bath involving all the pavilion auricular and avoiding that whitewashes big quantity of water about the head.
After this period, dry prudent the scar after the bath, initially with a dry cotton swab, and subsequently with cotton swab involved in dye of benjoin.
Avoid straight solar exposition for 60 days. It will be able to, however, expose itself to the occasional sun of street, from the 7th day, with use of solar protector.
Resolve with us any doubts. Avoid to sensitize yourself by friend's opinions on this initial phase.

4. Baths:
The bandage surgical can not wet in the first 7 days, so that the bath in this period should be taken avoiding wet the face.

5. Medication:
They will be prescribed anti-inflammatory and common painkillers , by a medium period of 5 days.

6. Returns:
The returns are scheduled in the 3th and 7th day of post-operative. Subsequently, are fortnightly for 2 months.
Those frequencies can be altered, according to the clinical need.