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хирургическая операция, направленная на коррекцию формы, размера или положения ушных раковин [1](https://vmclinic.ru/blog/chto-takoe-otoplastika/)[2](https://gmt-clinic.ru/articles/sovremennye-metody-otoplastiki-vse-chto-nuzhno-znat-ob-operatsii-na-ushnye-rakoviny)[3](https://Anisimov.pro/articles/otoplastika-plastika-ushey-chto-eto-i-zachem-ona-nuzhna/). Цель — создать гармоничный и естественный вид, устранить эстетические недостатки, а также решить проблемы после травм, врождённых или приобретённых дефектов [2](https://gmt-clinic.ru/articles/sovremennye-metody-otoplastiki-vse-chto-nuzhno-znat-ob-operatsii-na-ushnye-rakoviny). \n\nВо время отопластики врач работает только с наружной частью уха — с хрящом и кожей, внутреннее ухо и слух при этом не затрагиваются [3](https://Anisimov.pro/articles/otoplastika-plastika-ushey-chto-eto-i-zachem-ona-nuzhna/).\n\n\n\n## Виды\nВыделяют два основных типа отопластики [1](https://vmclinic.ru/blog/chto-takoe-otoplastika/): \n1. **Реконструктивная** — проводится для исправления врождённых аномалий или дефектов ушей, таких как микротия (недоразвитие уха) или анозия (полное отсутствие ушной раковины) [1](https://vmclinic.ru/blog/chto-takoe-otoplastika/). Также процедура может потребоваться, когда ухо было повреждено в результате травмы или заболевания [1](https://vmclinic.ru/blog/chto-takoe-otoplastika/). \n2. **Эстетическая** — проводится для улучшения внешнего вида ушей без функциональных показаний [1](https://vmclinic.ru/blog/chto-takoe-otoplastika/). Наиболее распространённые виды — коррекция лопоухости, изменение размера ушных раковин и восстановление симметрии ушей [1](https://vmclinic.ru/blog/chto-takoe-otoplastika/).\n\n## Показания\nОснованием для отопластики служит изменение формы, размера или положения ушных раковин, которое визуально нарушает пропорции лица или доставляет физический дискомфорт [3](https://Anisimov.pro/articles/otoplastika-plastika-ushey-chto-eto-i-zachem-ona-nuzhna/). Некоторые показания: \n* лопоухость — угол между ухом и черепом больше 30°, уши выступают вперёд [3](https://Anisimov.pro/articles/otoplastika-plastika-ushey-chto-eto-i-zachem-ona-nuzhna/); \n* асимметрия — разная форма, высота или степень отстояния ушных раковин [3](https://Anisimov.pro/articles/otoplastika-plastika-ushey-chto-eto-i-zachem-ona-nuzhna/); \n* слишком большой размер — гипертрофия ушной раковины или отдельных её участков [3](https://Anisimov.pro/articles/otoplastika-plastika-ushey-chto-eto-i-zachem-ona-nuzhna/); \n* изменения мочки — растяжение, провисание, разрыв после ношения серёг или тоннелей [3](https://Anisimov.pro/articles/otoplastika-plastika-ushey-chto-eto-i-zachem-ona-nuzhna/).\n\n## Противопоказания\nПеред операцией пациент должен пройти тщательное медицинское обследование [1](https://vmclinic.ru/blog/chto-takoe-otoplastika/). Некоторые противопоказания: \n* острые или хронические заболевания (обострение инфекций, хронический отит) [1](https://vmclinic.ru/blog/chto-takoe-otoplastika/); \n* проблемы с коагуляцией крови (плохая свёртываемость может вызвать осложнения во время и после вмешательства) [1](https://vmclinic.ru/blog/chto-takoe-otoplastika/); \n* возрастные ограничения — для детей желательно проводить операцию после 14 лет, когда ушной хрящ уже полностью сформирован [1](https://vmclinic.ru/blog/chto-takoe-otoplastika/); \n* аллергии на анестетики или другие медицинские препараты [1](https://vmclinic.ru/blog/chto-takoe-otoplastika/); \n* беременность и период лактации [1](https://vmclinic.ru/blog/chto-takoe-otoplastika/).\n\n## Реабилитация\nПосле отопластики пациентам необходимо пройти период реабилитации, который обычно занимает несколько недель [1](https://vmclinic.ru/blog/chto-takoe-otoplastika/). В этот период необходимо соблюдать рекомендации врача [1](https://vmclinic.ru/blog/chto-takoe-otoplastika/). Например: \n* носить компрессионную повязку в течение 1–2 недель для поддержания новой формы ушей [1](https://vmclinic.ru/blog/chto-takoe-otoplastika/); \n* принимать назначенные препараты — антибактериальные, противоотёчные, при необходимости обезболивающие [14](https://Anisimov.pro/articles/vosstanovlenie-posle-otoplastiki/); \n* спать на высокой подушке, на спине — это снижает приток крови к голове и уменьшает отёчность [14](https://Anisimov.pro/articles/vosstanovlenie-posle-otoplastiki/). \n\n**Осложнения после отопластики** редки, но возможны: воспаление, кровотечение, формирование грубого рубца или асимметрии [2](https://gmt-clinic.ru/articles/sovremennye-metody-otoplastiki-vse-chto-nuzhno-znat-ob-operatsii-na-ushnye-rakoviny). 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