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Abnormal Shape

ear surgery center
Abnormal Shape

Constricted ear (cup ear, lop ear)

Contricted ear

Constricted ears are generally called folded ears,
and
they show various shapes
depending on the degree,
and the treatment method
varies depending on

the degree of deformation. In most cases, the upper

part of the ear shows a folded shape,

but there are various
types of deformation of the structures inside the ear.

Classification of constricted ears

Tanzer's classification (1975)

Type Ⅰ
helix only involved
Type Ⅱ
scapha and helix involved
A. No additional skin required
B. Additional skin required
Type III
extreme cupping deformity: may be associated with incomplete migration,
forward tilt, external auditory canal stenosis and deafness

However, Tanzer's classification is based on shape, and has nothing to do with the difficulty of correction in many cases, and even in Group I, correction is difficult in some cases. Therefore, it is important to determine the degree of the constricted ear through direct examination and determine the corrective method. Correction of constricted ears is a relatively difficult operation, and depending on the degree, skin flaps, cartilage flaps, or chest cartilage may be required.

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

The treatment of constricted ears varies depending on the degree of contraction (degree of folding). If the degree of folding is not severe, the folded ear cartilage can be straightened to make a shape. However, if the length of the ear is much shorter than normal (over 1.5cm) due to severe fold, the surgery becomes complicated.

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 to two weeks 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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