Dr Maas discusses various ear abnormalities and deformities, including microtia, ears that stick out, ears missing specific parts, and other common and uncommon cosmetic ear issues, as well as otoplasty surgery in San Francisco.
* The following auto-generated transcript has not been proofread for grammar, spelling or accuracy.
“I wanted to take a few minutes to talk about a special condition which I see it through amount of and certainly did a lot of at UCSF when I was a full professor there. The treatment of ear abnormalities or deformities I did a lot of microtia repairs when I was full time professor at UC, and those are children that are born with just a little peanut for an ear, they have no external canal or oracle, the external portion of the ear and obviously this is a quiet a dramatic deformity that requires redrafting and is quiet extensive and quiet disturbing to the patients who have it and we can help people that have that quite a bit with the procedure that’s called microtia repair.
But in general what I see more commonly and what many of us do see and hopefully people with expertise because it’s a very new procedure to get really good results are patients that have outstanding ears and so-called “Dumbo ears” or “Mickey Mouse ears”, those are all kinds of names for them and they actually can affect kids at very young ages whereas the subject ridicule of teasing by their friends which can effect self-esteem pretty significantly and so there are two populations where I see this.
One is the population of kids that come in with their parents and a lot of times kids won’t be real open and talking about this it’s a source of embarrassment even with parents. So,it’s good to be open about it, if they ever express a concern and let them tell you about their feelings. That’s okay to empower them and say, “That’s okay to have ears that stand out” but that’s not going to really change the fact that they’re going to be the subject of some teasing from other which right or wrong is reality we live in.
For those that would like to have that asymmetry or imbalance improved well I should mention the other group are adults who are now on their own and decided they’re going to do it anyway whether it’s a self-esteem issue for them or they’re just rejecting their concept that they have to live with it which they don’t, they’re going to do it in adulthood so there’s more balances their face and that’s really what we’re talking about is balancing features and symmetry when we’re talking about Otoplasty, outstanding ears where they stick out.
Now what’s the definition? I’ve got fairly prominent ears but what’s the definition of an ear that really sticks out? Well ideality we want to be in the 15 to 30-degree range if we’re talking about the angle that the ears stick out from the back of the head. It’s considered to outstanding ear or ear that’s over projected if its more than 45-degree angle. So a 45 degree angle big is a rough estimate but there are lots of sort of conditions that add to it and I’ll talk about the anatomy in just a few minutes but the main thing to know is that if the ear sticks out from the coltubol at the bottom of the ear or more commonly from the top of the ear it’s missing or has too much of two components that’s the cartilage here of the contuse being too great which makes the bottom of the ear stick out or it’s missing the actual fold here that’s known as the antihelices and that makes the ear flop over which you’ll see in the diagram we’re showing. So, the important part of the surgery that we’re doing is which can be done on the local even with kids, they can do with local you don’t have to general anesthesia which often get them an oral medication to help them be settled and relax. Once a local is done it’s very easy to do in the office, we’d lift a small segment of the skin behind the ear there’s nothing that you can see in front and we’ll modify the cartilage with special sutures and some cutting through the cartilage to relax the mimry so that the ears sets back nicely and in that 15-30-degree range. We really don’t want to impress them against the head, that’s not ideal either. So that 15 to 30-degree range is the target and by repairing the antihelix and the console of prominent the procedure called Otoplasty we can get pretty dramatic results and when I say dramatic it’s just balancing the facial features and making them the symmetric and the appropriate with the patients face.
This has big impact again on children especially but adults, I’ve got the adults that have come in and their entire life if weren’t funny or outdated hair style just because of their ears. And I think it’s important that we know what there’s options available for repairing those.
If you have any questions about the specifics of Otoplasty I guess we’ll have some more videos that shows surgical indications and how we exactly do it but I wanted to talk about these modifications or at least the indications for it and how we can address these in most of our patients, this is Corey S. Maas MDTM on Looking Your Best.”