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.
Preparation for otoplasty in children should include an assessment of the child's feelings about the procedure.
On the other hand, some surgeons have reported performing setback otoplasties on children as young as nine months with no disturbances in the growth of the ear or recurrence of the problem.
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Otoplasty in children is performed under general anesthesia; in adults, it may be done under either general anesthesia or local anesthesia with sedation.
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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