The resulting hazards or risks
in this operation are few. As the skin has been lifted
during the operation some collection of fluid or blood
(haematoma) may occur. A haematoma is the most immediate
problem indicated by immediate pain form the pressure
of the leaking blood. The wound would be opened and
evacuated; bleeding points identified and stopped.
This is guarded against by the special padded dressing
that is applied following the operation. This dressing
may not be disturbed in any way. Hypertrophic scars
are frequently seen in the line of the skin incision.
They would tend to be more apparent in deeply pigmented
patients. They usually resolve with conservative treatment
but in some case steroid treatment may be employed.
Minor adjustments in ear lobes may be considered and
desirable afterwards. Probably the most common concern
is some remaining irregularity in the cartilage when
the ear is viewed from either the front or the side.
It should be noted however that both ears are never
exactly alike, even in the normal state, and that
perfect symmetry is therefore not a reasonable expectation.
In cases where significant differences occur, however,
secondary treatment may be performed.
The operation has no adverse
effects upon the hearing mechanism, as it does not
actually involve the inner ear structures of the organ
itself. Finally, the otoplastic operation is generally
most successful, and most rewarding for the patient
in terms of improved personal appearance, confidence
and self esteem. This procedure benefits all ages
but especially the youngster with whom we can sympathise.
