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Ear Pinning Without Incisions.

What is the correct age for ear pinning correction in children?

Protruding ears can be cause for ridicule from other kids and instilling a complex in a young age. Therefore, ear pinning can particularly important in children of preschool age (5-6 years), as prevention against bullying.

When the ears stick out prominently, they are called ‘bat ears’. This condition is not at all a physical problem but it might spoil the overall appearance of the face. Grown up persons might feel embarrassed in social circles and children might be teased by other kids, beacause they have big ears.


What causes protruding ears? How to correct them?

The reason for protruding ears is the absence of the antihelix fold of the ear.

The operative ear pinning treatment consists in the creation of the missing fold. The procedure may be performed in two ways:

  • with incision behind the ear and suturing the cartilage in a new position
  • using the Serdev Suture Technique, which involves no incision. The cartilage is sewn into the new position, creating the folds of the ear with sutures through skin punctures that leave no scars.

The most common treatment to correct prominent ears is ear pinning (medically termed as otoplasty or pinnaplasty). In this face procedure, the cartilage or the gristly tissue in the ears is reshaped. Stitches are used to pin the ears back. When the anesthetic had taken effect, the cosmetic surgeon has two option – 1. make small incisions behind the ear for exposing the cartilage, or 2. he will use Serdev Suture method to create the fold without incisions. In this case, the cartilage would be reshaped and specially designed stitches are done for holding the ear back in the new position.

In certain patients, when using the first method for otoplasty, some amount of cartilage could be removed. Sometimes, the cartilage could be folded back and the stitches done for holding the ear in the new position. Finally, absorbable sutures are done for closing the cuts in the ear. This process is repeated for the other ear.


After surgery

Usually, a tight bandage would be wrapped around the head to cover both ears and protect them while they heal. Painkillers might be needed for the first few days. The instructions for taking care of the ears, along with bathing procedures given by the surgeon should be strictly followed. Bandages and stitches are removed within one or two weeks. Since the bandage would affect hearing, the patient might avoid going to work or school until it is removed. There would be some amount of itching until the ears heal completely, but scratching is not allowed under any circumstance, as it might lead to infection or delay of the healing process.


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