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Plastic surgery
«To make patients happy
is as important as to make them healthy»
Sir William Osler

Lazurenko Alexey Sergeevich graduated with honors from Crimean State Medical University named after S. I. Georgievsky. He got the master degree of surgery on the basis of KNMU under the Center of endovideosurgery in Simferopol (scientific advisor – surgeon-in-chief of Crimea, candidate of medical science, associate professor Chemadurov N.T.).

Alexey Sergeevich took a course on thematic improvement in plastic, aesthetic and reconstructive surgery on the basis of Donets National Medical University named after Gorkiy under the direction of associate professor of medical science, professor of DNMU, member of the All-Ukrainian Association of plastic, reconstructive and aesthetic surgeons Zhukov M.I…

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The correction of auricles
The correction of auricles
The correction of auricles
The correction of auricles

The protruding auricles are congenital deformity. The mostly widespread deformity of the auricle is a hypoplasia of antihelix and redundant protrusion of auricle. They can be found in combination as well as separate. When the deformation is obvious the indications for the operation are absolute.

Picture 1. Formation of auricle
Picture 2. Formation of auricle

Anesthesia

Usually we use local anesthesia, but for children and emotionally labial patients the general anesthesia is used.

Surgery

Duration- 1.5 hours.

It is recommended that the elimination of the defects of external ear surgery should be conducted at the age of 6-7 years, when the process of auricle formation and growth comes to an end. It is better to conduct the correction before the child goes to school, where he can become a laughingstock. But this surgery is often conducted even in the juvenile and mature age.

The choice of the method of correction depends on the type of deformation, the structure of the tissues and the patient’s age. The emphasis of the modern methods is made on the attempt to make the traces of the conducted surgery unnoticeable. It is necessary to make the edge of the cartilage hidden and to make the ear smooth, attractive and proportional.

The approach is reached by the posterior surface of the auricle. After the completion of surgery a special elastic bandage is applied. It is necessary to stay in hospital during the first hours after the surgery. But the patient can go home the same day. 7-10 after the surgery the sutures are removed. The elastic bandage is necessary to wear during the first two weeks after the operation.

The main goals:

  1. To correct all the deviations of the proportions, especially in the top of the auricle.
  2. When you look at the patient full face, you must see a little bit of helix from the antihelix in the upper third.
  3. To ensure a smooth and plane antihelix along the full length.
  4. The parotid recess must not be diminished, and its shape must not be broken.
  5. To prevent an excessive occlusion of the auricle to the head.
  6. To ensure the symmetry of the both auricles.

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