Does otoplasty always work?

Question

Hi. I have just had my second revision surgery (I have now had otoplasty carried out 3 times). I only needed otoplasty on one ear to try and match it to my other however it never holds. The top of my ear 'relaxes' and won't stay in position. My surgeon has carried out several methods of surgery and I'm worried again this time round (I'm now 4 weeks post op) I can see the ear beginning to 'come out'. Do some people's ears just not take to being pinned back or should I keep on trying? Thank you.

John A. Standefer Jr., MD, FACS · Answer

Because the cartilages of the ears have inherent spring to them, the spring is often able to overcome the sutures that are used to hold them in place. Some cartilages are much stronger than others. Some cartilages need to be incised or scored to "break the spring". I know it's frustrating, but give your ears a little more time to heal. Discuss your concerns with your surgeon.John Standefer MD

Stephen Weber MD, FACS · Answer

Revisions are sometimes required usually only if the ear is traumatized and the permanent sutures are pulled through the cartilage. It should be possible to keep the upper pole of your ear pinned closer to your head. In some cases a small refinement is required but I have not encountered an ear that couldn't be pinned back. Best of luck with your healing.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

Vasdev Rai, MD · Answer

No way of telling whether this time it will work for you.  Since thickness and spring of ear cartilage varies from person to person there is sometimes unpredictability to outcome.

David A. F. Ellis, MD · Answer

What type of sutures did your surgeon use? Permanent? If he or she used permanent sutures it should work. The suture must be put in outside the perichronrium.

John F. Reinisch, MD · Answer

The success of a surgery depends on several important factors.  One is the initial condition of your ears before surgery.  Another is the technique that was used.  The last factor is the  skill and experience of the surgeon.  A skillful and experienced surgeon will be able to determine if your expectations are reasonable and if you ears are suited for an otoplasty.  I would be concerned if you have had 3 unsuccessful surgeries and at least seek a second opinion with another surgeon.

Somyos Kunachak, MD - Account Suspended · Answer

hi Bertielily40,It is quite strange for otoplasty to repetitively fail. If the affected cartilage is properly and adequately corrected, I do not see any reason why it should not be successful even without compression dressing, but I wish you good luck for this surgery and I hope everything turns out well.

Does otoplasty always work?

Answers (6)

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