Correction de l'oreille

 Qu'est-ce que la chirurgie de correction des oreilles ?

 

La chirurgie de correction des oreilles, connue sous le nom d'otoplastie, vise à améliorer l'apparence des oreilles anormalement positionnées et décollées en repositionnant et en plaçant les oreilles plus près de la tête ou en modifiant la taille et la forme des oreilles.

 

Pourquoi procède-t-on à une correction des oreilles ?

 

La correction des oreilles est pratiquée pour résoudre le problème de l'incohérence ou de la trop grande taille des oreilles par rapport à la tête du patient. Les patients peuvent envisager une correction des oreilles si celles-ci sont déformées à la suite d'un accident ou d'une malformation congénitale.

 

Quelles sont les conditions pour une correction d'oreille ?

 

La correction des oreilles est principalement pratiquée sur des enfants ou des adolescents, mais elle peut également être pratiquée sur des adultes. Il est recommandé aux enfants dont les oreilles sont séparées et décollées de subir une opération de correction des oreilles après l'âge de 6 à 8 ans. L'opération de correction des oreilles ne convient pas aux enfants de moins de 6 ans, car le cartilage de leur oreille est trop mou pour retenir les points de suture. Le patient doit être capable de subir une anesthésie en toute sécurité pour subir une correction de l'oreille.

 

Quels sont les éléments à prendre en compte avant la correction de l'oreille ?

 

Il est recommandé aux patients de prendre les mesures suivantes :

 

  • Le patient doit se rendre à l'hôpital un jour avant son opération pour que les tests préopératoires soient effectués.
  • Le patient doit arrêter de fumer et de consommer de l'alcool au moins 2 semaines avant l'opération pour atténuer le risque de caillot sanguin.
  • Le patient doit éviter les médicaments contenant de l'aspirine ou de l'ibuprofène (Advil, Motrin IB, autres) pendant les deux semaines précédant l'opération. Ces médicaments peuvent augmenter le risque d'hémorragie interne. Les patients doivent confirmer chaque médicament et supplément qu'ils souhaitent prendre avec leur coordinateur de patients.
  • Le patient doit arrêter de prendre des multivitamines 7 jours avant l'intervention chirurgicale, et si elles contiennent de la vitamine K, elles ne doivent pas être utilisées pendant les 30 jours suivant l'intervention.
  • Le patient doit arrêter de prendre des contraceptifs oraux 30 jours avant l'intervention chirurgicale.

Comment se déroule la correction des oreilles ?

 

Les oreilles seront correctement remises en place plus près de la tête et leur taille peut également être réduite pour donner une apparence plus uniforme. La technique d'otoplastie utilisée dépend de ce que le patient souhaite changer dans ses oreilles. En général, une petite incision est pratiquée à l'arrière de l'oreille pour accéder au cartilage auriculaire, puis le cartilage est ajusté en fonction des souhaits du patient. Les cicatrices de l'otoplastie sont cachées derrière l'oreille. L'intervention peut être pratiquée sous anesthésie locale ou générale.

 

Quels sont les éléments à prendre en compte après une correction de l'oreille ?

 

Les deux oreilles sont bandées jusqu'à deux jours après l'intervention. Les bandages sont ensuite remplacés par une bande élastique qui doit être gardée pendant le sommeil pendant un mois. La plupart des adultes peuvent reprendre le travail cinq jours après l'opération.

 

Les résultats de l'opération sont permanents et peuvent être observés immédiatement après l'opération.

 

Les patients doivent faire attention à ce qui suit :

 

  • Avoir une alimentation saine, car cela accélère le processus de guérison.
  • Prendre les médicaments prescrits selon les instructions de leur médecin.
  • Garder la tête aussi droite que possible pour assurer une circulation sanguine normale pendant les premières semaines suivant l'opération.
  • Éviter d'utiliser des sèche-cheveux ou d'autres outils de coiffure chauffants pendant un mois après l'opération.
  • Ne pas faire d'exercices physiquement éprouvants pendant 6 semaines jusqu'à la fin de l'opération.
  •  

Quels sont les risques de la correction de l'oreille ?

 

La correction de l'oreille est une intervention courante et est considérée comme relativement sûre. Cependant, comme toute autre intervention chirurgicale, elle comporte certains risques.

 

  • Après une opération de correction des oreilles, le repositionnement des oreilles peut temporairement réduire la sensation de la peau autour des oreilles.
  • Les cicatrices peuvent subsister, mais elles sont bien cachées derrière les oreilles.
  • Les patients peuvent présenter une asymétrie à la suite de changements survenus au cours du processus de cicatrisation et peuvent avoir besoin d'une révision.
  • La chirurgie de correction des oreilles peut provoquer des contours non naturels qui pourraient donner l'impression que les oreilles sont exagérément épinglées vers l'arrière.
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