Ear Deformity Correction Ear deformity correction (Otoplasty):

Ear deformities can range from absolute absence of ears (Anotia) to excessively prominent ears (bat ears). The treatment is different for different deformities. Small deformities are amenable to correction under local anaesthesia with minimal scarring. Larger deformities require longer operating time under general anaesthesia. At your initial consultation we will address your requirements and make the blue print for the treatment.

Torn Ear Lobule Correction:

Women and men wear ear jewellery to enhance their appearance. Rings, posts, and other objects have adorned ears since ancient times. Various parts are pierced to better hold these items in place. Unfortunately significant weight or trauma can pull through tissue. A tear in the lobe or margin leaves a notch in the otherwise smooth continuous edge. This defect is usually very visible and hard to cover with hair or clothing.

What is actually torn?

The soft ear lobe has skin and fat. Other parts of the ear have cartilage adding structural strength. Since the tissue over the cartilage is thin, contour irregularities of the cartilage are easily seen. Reestablishing the delicate shape of the underlying cartilage adds complexity to a reconstruction.

Methods of reconstruction?

Most ear holes gradually enlarge over time. The final tear is usually just through a tiny piece of tissue at the bottom of the lobe. If only the bottom is actually torn, immediate repair will not take care of the skin covered slot. However if the tear starts from a tiny pierced hole, immediate repair is an option. Otherwise reconstruction is delayed after the wound has healed and tissues are not inflamed. Depending on the deformity, reconstruction can take different forms. In all methods, the skin lining the slot is removed creating a raw edge to rebuild. Lost tissue complicates matters and reconstruction centers around reestablishing normal proportions in a somewhat smaller ear. Under most circumstances the new hole can be created at the same site avoiding any site disparity between the ears.

Keloid Ear Treatment:

Keloid is an abnormal proliferation of scar tissue that forms at the site of cutaneous injury (eg, on the site of a surgical incision or trauma); it does not regress and grows beyond the original margins of the scar. Keloids should not be confused with hypertrophic scars, which are raised scars that do not grow beyond the boundaries of the original wound and may reduce over time.

Keloids are benign dermal fibroproliferative tumors with no malignant potential. The first description of abnormal scar formation in the form of keloids was recorded in the Smith papyrus regarding surgical techniques in Egypt around 1700 BC. The term keloid, meaning "crab claw," was first coined by Alibert in 1806, in an attempt to illustrate the way the lesions expand laterally from the original scar into normal tissue. Keloids are found only in humans and occur in 5-15% of wounds. They tend to affect both sexes equally, although a higher incidence exists of women presenting with keloids, possibly secondary to the cosmetic implications associated with the disfigurement. The frequency of keloid occurrence in persons with highly pigmented skin is 15 times higher than in persons with less pigmented skin. The average age at onset is 10-30 years. Persons at the extremes of age rarely develop keloids. Studies have consistently demonstrated that persons of certain races are more susceptible to keloid scar formation. Individuals with darker pigmentation, black persons, and Asian persons are more likely to develop keloids. In a random sampling of black individuals, as many as 16% have reported developing keloid scars, with an incidence rate of 4.5-16% in the black and Hispanic populations. White persons and albinos are least affected. Some evidence supports a relationship between genetic predisposition and an individual's propensity to form keloid scars. Keloids are dermal fibrotic lesions that are a variation of the normal wound healing process. They usually occur during the healing of a deep skin wound. Hypertrophic scars and keloids are both included in the spectrum of fibroproliferative disorders. These abnormal scars result from the loss of the control mechanisms that normally regulate the fine balance of tissue repair and regeneration.

Treatment Modalities?

No single therapeutic modality has been determined experimentally to be most effective for treating keloid scars. The most important thing to consider in the management of keloid scar formation is prevention. Prior to all surgical procedures, we thoroughly discuss a history of abnormal scar formation or a family history of keloid scar formation with the patient. Persons with only earlobe keloids should not be considered keloid formers. We offer a range of treatment modalities ranging from occlusive silicone gel, sheets, compression, corticoids injections, Cryosurgery, Laser therapy, Interferon therapy to surgery depending upon the requirement.