Ear exostoses - what is it?
Exostoses are bone formations that develop on the walls of the external auditory canal. There are flap and flat exostoses, having a wide base and located on one or several walls of the ear canal. The size of the exostoses can be different - from the pinhead to such a size that they completely occupy the entire lumen of the auditory canal and do not provide an opportunity to clean the ear from sulfur, which leads to ear infection and otitis. The presence of small exostoses may not be reflected in the hearing; large ones cover the auditory canal and reduce hearing. Medication of overgrown bone tissue is not effective. Treatment is usually to be performed surgically.
Frequently, in addition to the otolaryngologist examining, audiometry and computed tomography of the temporal bones should be performed (to exclude the destruction of the tympanic membrane and the middle ear, since a prolonged presence of exostoses can lead to destruction of the tympanic membrane and the middle ear).
If you are recommended to have this surgery, you have to undergo Common Lab Tests for hospitalization. The minimum set of tests: complete blood count (CBC), blood biochemistry, glucose, coagulation, urinalysis, blood group and Rh factor, chest x-ray, electrocardiogram). If taking into account that people are different, and the health of everyone is not the same, it may be necessary to do the other tests. It might be also necessary the consultation of a pulmonologist or cardiologist. Obligatory research is audiometry.
The surgery can be performed both under local and general anesthesia. Before the surgery, you need to exclude alcohol; smoking must be reduced to a minimum, do not overeat the night before surgery. It’s necessary to take comfortable clothes with you to hospital: a tracksuit, a few t-shirts, panties, changes or slippers, provisions for personal hygiene, something for leisure (books, laptops), assuming that it will be 1-2 days in hospital.
Day of Surgery:
If the surgery is scheduled for the first half of the day, you are not allowed to eat or drink on that day, as having an empty stomach is important during a surgery and anesthesia. If the surgery is scheduled for lunch or after lunch, you should calculate that the last meal of light food should be 6 hours before surgery, the last intake of clean water in the amount of 100 ml should be 4 hours before the surgery. In the ward, you need to change clothes and expect the time you will be called. In the case of surgery under general anesthesia, the most unpleasant thing for you will be one injection in a vein. And that's all. There will be no more discomfort and painful sensations. You will be put on the table and tied, but not in order that you do not run away, but in order that you do not fall off the table when you are under anesthesia. In case of local anesthesia, you are conscious.
Immediately After Surgery:
After the end of the surgery, when you wake up, there will be a bandage on your head. Until full awakening, you will be under the control of doctors and only after that, you will be transferred to the ward. Therefore, if you were told that the procedure lasts for about an hour - one and a half, this does not mean that immediately upon termination you will be in the ward. This can take another 1-2 hours. After you arrive in the ward, you will be allowed to drink in 2-3 hours.
Postoperative Clinic care:
Usually, the day after the surgery, an external bandage is removed. Most often, a cosmetic suture behind the ear is used, which is virtually invisible. In the ear canal, there are Merocel swabs, under which your new eardrum are taking roots. Swabs in the auditory canal will be kept for 1.5-2 months, since during this surgery the new skin, which can take roots, is often transplanted. Until the removal of swabs, drops should be dripped onto them. After removing the bandage, there may be protruding ears, which will disappear over time.
Postoperative Care at home and recommendations:
You need to adhere and follow the doctor's recommendations, since the greatest number of complications occurs at home. The necessary medication is usually prescribed individually for everyone at discharge. The sutures are removed 7-8 days after the operation. In a month and a half or two months, you need to come to remove swabs from the external ear canal and check your hearing.
You Can: take a warm shower; it is necessary to protect the ear from water ingress.
You Cannot: take a bath, do sports 2-3 months after the surgery.