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Abnormal Shape

ear surgery center
Abnormal Shape

Prominent ear

Prominent ear

Prominent ears are the most common congenital deformity of the ears,

and are also called donkey ears or Mickey Mouse ears.


The ears are far away from the head, and when viewed from the front,

the ears look spread out.

Since it occurs for various reasons, accurate correction

according to the cause is required to make natural ears.


In general, the unformed antihelix of the ear or hypertrophy of the auricular


concha are known to be the main causes of prominent ears,

but there are many other causes.

Experientially, prominent ears can be classified into

about 5 types depending on the cause,

and correction according to
these
classifications can produce more accurate and natural results.

Classification of Prominent ear (Bona Clinic's own taxonomy)

Type Ⅰ
Usually, it is a case where a large wheel is not formed, and it can be classified into two types in detail.
Type Ia
In the most common form, when the entire large two wheel is not formed except for the lower angle of the large two wheel.

  • example picture

  • example photo

  • before and after surgery

Type Ib
If the formation of the lower angle including the amortization of the large two wheels is insufficient

  • example picture

  • example photo

  • before and after surgery

Type II
In case of hypertrophy of the concha

  • example picture

  • before and after surgery

Type III
In case of helix-scapha hypertrophy

  • example picture

  • example photo

  • before and after surgery

Type IV
If more than one variant exists

  • example picture

  • example photo

  • before and after surgery

Right time for surgery

Although there is no specific reference in the literature on the timing of surgery, empirically, it is recommended to do it in the upper grades of elementary school because they can tolerate local anesthesia and cartilage growth is almost finished. However, since the ears grow quickly and 85% of the ears grow by age 3-4, surgery is often conducted at a young age. At this time, however, surgery must be conducted under general anesthesia due to the young age. If the child is doing well without any difficulties, it is recommended that the ear be corrected at an age when he/she can withstand local anesthesia.

Treatment method

After an incision is made on the back of the ear, the cartilage and skin are separated and corrected according to the cause. Various methods are used for correction. In many cases, prominent ears cannot be corrected only with one method, and natural ears can be made with complex methods (thread tying, partial incision, cartilage fixation, cartilage cutting, etc.).

Anesthesia and duration of treatment

In most cases, surgery is conducted under local anesthesia and does not require hospitalization, so you can go home after resting for a while after the surgery. Sutures are removed about one week after surgery, and you must visit the doctor every 2-3 days during that time.

Precautions after surgery

Immediately after surgery, the ear area is wrapped thickly for 2-3 days. Care should be taken not to press the surgical area, and it is recommended not to make excessive movements to prevent the dressing from loosening. After 2-3 days, we apply relatively light dressing, but be careful not to apply excessive force to the ear for at least 2-3 months.

Before & After

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    After
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  • Before
    After