Dr. Prabhash's Ear Surgery Otoplasty Clinic, New Delhi, Delhi, India
Otoplasty : Bat Ear or Prominent Ear or Protruding or Projected Ear (otoplasty
or ear reshaping) :- these type of ear lack anti helical fold ( the inner tough circle of cartilage which
surrounds the hollow leading to ear canal.In Otoplasty or ear reshaping or ear shape correction,
this fold is created or restored.
Before after picture otoplasty bat ear or prominent ear shape correction
Common Congenital Ear Deformities / Anomalies are MicrotiaAbsent Ear or Small and Malformed Ear (Microtia ) Cup Ear or Lop Ear Earlobe Deformities Bat Ear or Prominent Ear or Protruding Ear Acquired:-
means acquired after birth, usually post traumatic , post burn or post infective.
Ear Trauma :-One Important thing about ear is that itís a structure supported by cartilage framework wrapped in skin envelope.
The cartilage is an avascular structure means it has no definite blood supply and it depends upon surrounding skin
for its nutrition. So in cases of trauma if only skin is lost and cartilage still there, it has very high chance of
desiccation ( dryness). So it should be kept moist with normal saline soaked gauge
and some plastic surgeon should be seen urgently. Any delay after a few hours may lead to cartilage desiccation
and loss, making a major reconstruction inevitable later on.
If it has been transected, the detached piece of ear should be washed with simple water and carried along with.
He cartilage part can be harvested and banked in your body and can be reused later on. Ear re-implantation is
also possible, if trauma is not severe laceration.
Before and after picture of post human bite ear defect- before after flap reconstruction
Depending upon deformity, reconstruction can be done in single or multiple stages.
For total ear reconstruction , first a framework is placed at suitable site and shape of ear is created with it. In
successive stages , ear is lifted off the adjacent skull and lobule is created.
Different materials are used to create ear frame work Autogenous cartilage framework ( from rib cartilage)- Best Material
Medpore:- artificial porous material
Silicone:- artificial ear framework
Ear Framework created with costal
(rib) cartilage graft and artificial materials Medpore Silicone Framework for ear reconstruction.
Before after picture ear reconstruction with coastal cartilage graft
Partial ear reconstruction with coastal cartilage (rib) and skin graft
Before and after picture of partial ear reconstruction
Earlobe cleft are congenital while, split earlobes or earlobules are most commonly due to weight of ear rings or sudden pull down.
perhaps one of the most common ear reshaping surgery is earlobe repair. earlobe reconstruction is required in congenitally absent
earlobe or post traumatic loss. post dogbite earlobe loss is very common (see pic- post dogbite loss of earlobe & reconstruction)
earlobe / Lobule reconstruction
Post dog bite loss of ear lobule before and after reconstruction with local flap- color match takes time
Partial and total ear reconstruction & earlobe repair reconstruction
Ear , Ear Reconstruction, Otoplasty or Ear Reshaping for Bat Ear or Prominent Ear or Protruding Ear, earlobe
Repair in New Delhi, Delhi, India.