Abnormal Shape

Traumatic ear defect

Traumatic ear defect

Since ears damaged by various accidents interfere with social life, they should be restored as close to normal, if possible. The surgical method varies depending on the location of the damage, deformation, and degree of loss. Most importantly, when defects occur due to traumatic amputation, human bite (bitten by a person), burns, etc., you should not attempt to treat it using surrounding skin tissue or fascia, and better results can be obtained through primary suturing and subsequent reconstruction, even if the tissue is sacrificed a little more. If the severity of the defect is mild (deformation or defect of less than 1/4 of the ear), the cartilage part is restored with the ipsilateral or contralateral ear cartilage, and the skin is restored using the skin or fascia around the ear, but if the degree is severe (deformation or defect of more than 1/4 of the ear), it is necessary to make a cartilage frame in a similar way to microtia and restore the skin with fascia, skin around the ear, or skin graft. It is important to accurately determine the degree of damage and restore the skeleton and skin of the deficient (deformed) area as close to normal as possible.

Right time for surgery

Reconstruction is possible after at least 6 months after the defect or deformation has occurred.

Anesthesia and duration of treatment

If the defect or deformity is not severe (damage to less than 1/4 of the ear), 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 to two weeks after surgery, and you must visit the doctor every 2-3 days during that time. When the deformity is more than 1/4, three-dimensional reconstruction is required (using chest cartilage) Surgery is conducted in 1 or 2 rounds, with the first under general anesthesia and the second under general anesthesia or local anesthesia.

Hospitalization and treatment after discharge


First (general anesthesia): Hospitalized the day before surgery, 1 night 2 days

Second (general anesthesia or partial anesthesia): Hospitalized on the day of surgery in the case of general anesthesia, 1 night 2 days

-Treatment after discharge

First: Three weeks of treatment required, dressing once every 2 days and 3 times a week

Second: One month to a month and a half of treatment required, dressing once every 2 days and 3 times a week

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 ears for at least 2-3 months.

Before & After

  • Before

    With a defect of less than 1/4, ipsilateral cartilage
    and skin behind the ear are used
    This is a case of reconstruction.

  • Before

    More than 1/4 of the ear was lost due to burns,
    and chest cartilage was used
    Reconstruction was performed and
    this is a picture 1 year and 5 months
    have passed since the operation.