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Sail Ears - Causes and Treatment
contents
- Cosmetic operations
- An objective measure?
- Sailing Ear surgery
- The "normal" ear
- When should ears be operated on??
- Problems due to sail ears
- Living with the small difference
Cosmetic operations
Adjusting protruding ears is one of the 15 most common cosmetic surgeries. The health insurances usually take over the costs for children, while adults usually have to pay the 1500-2500 Euro for the procedure themselves.
What to do with sailing ears? (Image: oldline2 / fotolia.com) Parents usually choose to play with their children because the children are teased by classmates as "Prince's Ears," "Dumbo," or "Elephantomas," or parents fear it.
Even young adults who would have liked to undergo surgery as children, but whose parents do not support them, are a major group. Much less often do older people correct their ears.
An objective measure?
Although a more than 30 degree angle is considered as a guideline for ears, but because protruding ears are not a disease, and the affected people do not affect physically, there is no objective measure.
The decisive factor is rather the subjective feeling of the patients. With an angle of 40 degrees, someone obviously looks different than the "normal". If he or she is also teased and suffers so mentally under his, according to ENT doctors, minor malformation, then an operation is recommended.
For slightly protruding ears, however, serious doctors examine exactly what the problem is. Often, hidden behind such a plastic surgery namely deep-seated mental symptoms. These can be parents who want a perfect child in every way, and not only force the pitiable minors through tutoring, piano lessons and brain training, but also optically to align it with the impositions of late capitalism.
But these can also be people who are dissatisfied with themselves and the world in general, feel guilt or self-hatred and desperately try to get this negative self-image by external corrections under control. In such cases, not an ear surgery, but a psychotherapy is announced.
Many doctors refuse to pay attention if the child does not mind, but the parents put pressure on them. If other children tease the "sails" but already in the kindergarten, then an operation should take place even before the enrollment.
Health insurance check whether there is a mental impairment and have them checked in case of emergency by a psychological expert.
Sailing Ear surgery
Several interventions are possible, depending on the cause of the ears. Either the inner ear cartilage is strongly shell-shaped, or the bending fold in the cartilage behind the ear is not bent.
If the inner ear cartilage is too scalloped, the cartilage can thin out to straighten the ear. If the bend is too straight, incisions may correct the cartilage. However, the doctor has to fix these with threads, because otherwise the ear bends back into the old position.
The doctors prepare the ear cartilage via an incision at the back of the ear. Then he can simply bend into the desired position. Now fix the doctor's ear with threads and fold so the ears to the head.
Ears can also be created today without cutting into the skin. The doctors then puncture the skin with pinpricks to make them so flexible. Bruising or purulent abscesses behind the ear are virtually eliminated.
The doctors anchor a thread on the front of the auricle and on the temporal bone behind the ear and knot it; both points are pulled together and thus the auricle approaches the temporal bone. The doctors specifically create wound surfaces behind the ear. When they grow together, the ear also grows into the new position.
The operation is performed in children under full and adult conditions under partial anesthesia. After the operation, the patients wear a head bandage for seven days, after which the strings are pulled and those affected can also wash their hair again.
However, for at least six weeks, they should avoid injury because the ear kinks. But the operatives wear a headband that protects the ears while sleeping.
The "normal" ear
The outer ear is a cartilage that grows over the skin. This skin can be moved on the back a little, on the front it is fused with the cartilage. The back and the front show indentations and vaults.
As normal aesthetic is an auricle with a slope of up to 20 degrees to the rear, an auricle, which is about half as wide as long, an ear of the outer ear, which is not more than 2 cm away from the head, earlobe, which is the Anthelixfalte lie parallel, an earlobe, which connects with the neck skin at an acute angle.
When should ears be operated on??
Auricles can be directed from the age of six. Then the cartilage is tight enough and the ear hardly changes. Only if a child suffers from his ear mold and desires the operation should surgery be performed. Without painfulness, this operation, which is not medically necessary, is neither legally permitted nor ethically legitimate to surgeons.
The examination can be carried out by an ENT specialist. Image: oldline2 - fotolia Otolaryngologists can operate as well as plastic surgeons and oral and maxillofacial surgeons.
Problems due to sail ears
Correcting protruding ears is a simple operation, usually without complications. In all operations, however, it can lead to wound infections, bleeding, bruising and pain. Some patients also do not tolerate sutures.
As a rule, the wounds heal completely in one to two weeks, and patients who undergo such ear surgery usually report a psychological relief.
Living with the small difference
However, sufferers who have not undergone surgery report how they strengthened their self-confidence. One writes in an Internet forum: "I used to call all Feivel (a cartoon mouse), who thought that was totally funny; It totally made me feel unsure until the day I started laughing and making jokes about it. It suddenly stopped there. An Op should always be the last resort (of course depending on how much it puts a strain on you).
An Almas writes: "I also have ears that stick out slightly. When I was younger I wanted to let her even put me on. the costs would have taken over the health insurance. But if you want that, get ready for a marathon. You have to prove for the reimbursement that it restricts you and mentally burdened.
You will receive this proof from a psychologist. For me the ears would not only have been put on, but also the upper part would have been rolled up a bit. At least that's what the surgeon explained and illustrated to me at the time. In retrospect, I'm really glad that I did not do that. I have become accustomed to my ears and I think: Such flaws make a man. "(Dr. Utz Anhalt)
Specialist supervision: Barbara Schindewolf-Lensch (doctor)