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The first consultation allows the surgeon to become aware of the patient's expectations as well as the aesthetic and psychological impact of the problem.
The consultation begins with an examination of the patient's motivations, especially in children.
An interview about medical and surgical history is essential.
The surgeon then examines the patient to assess the extent of the malformation and its components. There are several types of auricle formation defects, the most common by far being insufficient folding of the auricle at the antihelix.
This thorough examination allows the surgeon to offer the patient a technique adapted to their case, but in all cases it is necessary to avoid cutting the cartilage.
Of course, the modalities of the intervention, the type of anesthesia, general in children, local or locally assisted in adults.
The scar is not visible because it is always located on the back of the ear. The scars are hidden behind the ear. Their evolution is typical: often pinkish for the first three months, they fade slowly over time. In cases of pathological hypertrophic scarring, local medical treatment or even secondary surgical correction, which is a simple procedure compared to the initial operation, may be used.
A photographic assessment is then carried out.
The usual postoperative course and potential complications will be explained in detail to the patient. They will then be given a detailed information sheet about the planned procedure to supplement their knowledge and allow them to make a considered decision at their leisure.
The second consultation allows for personalized answers to any questions the patient may have. A further clinical examination will validate the initially proposed treatment plan and allow for planning based on the photographic assessment.
In preparation for anesthesia ( local with sedation or general, depending on age), it is often necessary to perform certain preoperative blood tests and have a consultation with an anesthesiologist. No medication containing aspirin should be taken for 10 days prior to the procedure.
Coverage by social security is possible under code CAMA013, the fees of the surgeon and the anesthesiologist will be specified.
