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As of 2003, there is some debate among plastic surgeons concerning the best age for performing a setback otoplasty. Many recommend the operation when the child is between five and seven years old.

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What psychological consideration is involved in performing setback otoplasty on young children?

Another reason for performing an otoplasty in children in the early elementary school years is psychological; name-calling and teasing by peers can be emotionally destructive for children in this age bracket.


Why are the ages between five and seven ideal for setback otoplasty?

One reason is that the human ear has attained 85-90% of its adult size by this age, and therefore the surgeon can estimate the final size and shape of the ear with considerable accuracy.


What age group has the majority of otoplasty procedures?

It is the only type of plastic surgery that is performed more often in children than adults.


Osotplasty to correct microtia is usually begun at what age?

Otoplasty to correct microtia is usually started when the child is at least five years old.


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Why is the age of seven an ideal age for a child to have an otoplasty?

In addition, it is easier for the surgeon to use the child's normal ear as a model for the size and shape of the reconstructed ear when the child is five or seven years old.


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Why is an otoplasty to correct microtia typically not performed on children under seven years of age?

The surgeon must remove a portion of rib cartilage in order to construct a framework for the missing ear, and children younger than five may not have enough cartilage.


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Otoplasties are most commonly performed on what age groups?

Although most setback otoplasties are performed in children between the ages of four and 14, the second largest group of patients in this category is women in their 20s and 30s.