Otoplasty is performed under local or general anesthesia on an outpatient basis and lasts a maximum of 1h30. It can be performed on both ears or sometimes on only one ear, in case of asymmetry.
Many techniques exist, the important thing being to obtain a natural final appearance, free of a certain number of deformations or creases that we still see from time to time. It is also necessary to practice the technique that will avoid recurrences, reconstitution of the initial deformation or emergence of another one.
The choice of anaesthesia is the result of a discussion between the patient, the surgeon and the anaesthetist.
- Pure local anaesthesia: An anaesthetic is injected locally to ensure insensitivity of the ears.
- Intravenous sedation anaesthesia: Relaxing products help the patient to relax during ear surgery. It is supplemented by local anaesthesia.
- General anaesthesia: The patient sleeps completely during the operation.
The surgeon makes an incision in the natural fold behind the ear.
The skin is then peeled off to access the cartilage. The cartilage is then reshaped, either by weakening it with a small curved rasp that follows the shape of the ears (Stenström technique), or by placing non-absorbable stitches (Mustard and Furnas technique), or a combination of these two techniques.
Depending on the indication to be treated, the surgeon will :
- Reshape the cartilage in order to redraw the normal relief or remove part of the over-developed cartilage.
- Proceed to the plicature of the upper part of the ear (the antelix) and the burying of the hollow part of the ear (the concha).
- Remove the excess skin band to avoid the creation of a bulge. The incision is then sutured with an absorbable suture overjet.
At the end of the operation, the surgeon applies a bandage.