Pinched ears

Genetic predisposition

Protruding ears are often inherited, meaning they can run in families. If one or both parents have protruding ears, their child is more likely to have the condition. Genetic variations can affect the shape and structure of the cartilage in the ears.

Developmental changes

Ears develop during childhood and adolescence. In some cases, the cartilage can grow disproportionately or form irregularly, resulting in floppy ears. This problem can occur if the shape of the cartilage does not develop properly during fetal development or in early childhood.

Structural abnormalities

Some people may have structural abnormalities, such as poorly defined folds on the outer ear (auricles), which cause the ears to stick out. If the cartilage is soft or too flexible, it can cause the ears to deviate from the head.

Impact on ear development

In some cases, external factors such as injuries or ear infections during early childhood can affect the shape of the ear and cause it to become deformed.

Connective tissue disorders

Some genetic disorders, such as Marfan syndrome or Ehlers-Danlos syndrome, can affect the structure and strength of connective tissue, including the cartilage of the ears, which can lead to floppy ears.

Physical impact

Look

Protruding ears can affect the aesthetic appearance of the face, and in some people they can create a feeling of insecurity or dissatisfaction with their appearance. This aesthetic problem can become more pronounced in adolescence when self-confidence and identity are being formed.

Social status

In some cultures, protruding ears can be the subject of ridicule or teasing, which can lead to a change in social status. People with floppy ears can sometimes feel isolated or marginalized within social groups.

Emotional impact

Decreased self-confidence

Many people with floppy ears struggle emotionally with their appearance. This can result in low self-esteem, especially in situations where they are exposed to social interactions.

Psychological problems

People who experience teasing or negative comments about their ears may develop anxiety, depression, or low self-esteem. These problems can intensify during adolescence, when social acceptance is especially important.

Avoiding social situations

Fear of ridicule or negative comments can lead to avoidance of social situations or activities such as sports, dancing, or socializing with peers, which can further exacerbate feelings of isolation and loneliness.

Feeling of stigmatization

People with floppy ears may feel stigmatized because of their appearance, which can result in excessive self-critical thoughts or negative perceptions of themselves.

Ear correction

Correction of protruding ears, also called otoplasty, is most often performed in childhood, and the procedure can be performed on people of all ages who are bothered by "protruding" ears. The growth and development of the auricle ends at the age of 4, after which it is possible to surgically correct the ear. At the Bagatin Polyclinic, we most often correct the ears of children older than 6 years. It is recommended that the procedure be performed on children before they start school. The operation is performed by modeling the cartilage of the ear and fitting the auricle to the head. The procedure lasts from 60 to 90 minutes. The procedure is performed under local or general anesthesia. The surgical incision is discreetly visible because it is located in the crease between the ear and the head.

Orthopedic tapes

This method is often used for newborns and infants. Orthopedic tape or wraps can be used to shape the ears as they develop.

Bands are placed over the ears to keep them closer to the head. The effect is most effective if it is started at a very early age (usually within the first few months after birth).

This method is not always successful in older children or adults, and may require continuous application of the tapes over several weeks or months.

Preparation before surgery

The first step involves a consultation with a plastic surgeon or otolaryngologist. During this meeting, the surgeon will evaluate the shape and structure of the ears, discuss the desired outcomes, and explain treatment options.

The patient will be asked about their medical history, allergies, medication use, and other relevant questions to ensure that the patient is a candidate for the procedure.

In some cases, additional tests, such as blood tests, may be needed to assess the patient's general health.

The surgeon will give special instructions about how to prepare for surgery, such as avoiding certain medications, smoking, or alcohol.

During the operation

Otoplasty is usually performed under local anesthesia, but general anesthesia may also be used, especially in young children. An anesthesiologist will explain the anesthesia procedure and monitor the patient during the procedure.

The surgeon will make an incision at the back of the ear (or sometimes inside the ear) to access the cartilage. This incision position allows for minimal scarring after surgery.

The cartilage may be reduced or reshaped to bring the ear closer to the head. The surgeon may use stitches or special techniques to help maintain the new shape of the ear.

Once the cartilage has been reshaped, the surgeon will secure the ear in its new position with stitches or other materials. This helps keep the ear in place during the healing process.

Once the desired results have been achieved, the surgeon will close the incision with stitches. These stitches may be absorbable (disappear on their own) or they may need to be removed after a few days.

Recovery

After surgery, the patient will be monitored in the postoperative ward to ensure that they are recovering well from the anesthesia. Mild pain and discomfort are possible, which is usually controlled with analgesics as recommended by the doctor. The patient will most likely wear an elastic bandage or tape over the ears for the first few days to provide support and stability. The surgeon will provide detailed instructions on postoperative care, including hygiene practices, pain medications, and activities to avoid.

Check-ups

The patient will have follow-up visits with the surgeon to ensure that the ears are healing properly and that the results are satisfactory.

Recovery takes several weeks, and final results are usually visible after the swelling and bruising have subsided.

Rest and recovery

After surgery, it is important to rest and avoid physical exertion for at least a few days. The body will recover more easily if it is not exposed to excessive stress. It is recommended to sleep with the head elevated for the first few nights to reduce swelling and promote proper healing.

Pain control

After surgery, your doctor will prescribe painkillers or recommend over-the-counter medications to help relieve pain and discomfort. It is important to take your medications as directed.

If necessary, cold packs can be applied to the ears to reduce swelling and discomfort. Be sure to wrap the ice in a cloth to avoid direct contact with the skin.

Wound and suture care

Keep the area around the surgical wound dry and clean. Follow your doctor's instructions on cleaning and caring for the wound.

Avoid getting your ears wet while showering and washing your hair until your stitches are removed or you have received approval from your doctor. Using a shower cap can help protect your ears.

If the stitches are non-absorbable (non-dissolvable), you will make an appointment with your doctor to have them removed after a few days.

Wearing an elastic bandage

After surgery, it will usually be recommended to wear an elastic bandage or tape over your ears to provide stability and support during recovery. Wear the bandage as directed by your doctor, usually for the first few days or a week.

If the bandage moves or causes discomfort, contact your doctor for advice.

Avoiding activities

Avoid strenuous activities, sports, or other physical exertion for several weeks after surgery to reduce the risk of complications and ensure proper healing.

Protect your ears from strong sun exposure until they heal, using a hat or bandage, to reduce the risk of burns or hyperpigmentation.

Check-ups

Make regular appointments with your surgeon to ensure that your ears are healing properly. The surgeon will monitor the healing process and give advice on further care.

Contact your doctor immediately if you notice any signs of infection, such as redness, swelling, drainage, or worsening pain.