When is the Right Age for Surgery to Remove Ear Polyps in Infants?

Ear polyps in children?

Hello Doctor: My baby is currently about nine months old.
At birth, a small polyp about the size of a soybean was found on the outer ear of the right side.
Initially, we decided to wait for the baby to grow a bit more before considering removal, as the pediatrician mentioned that the procedure might require general anesthesia.
Now, as the baby has grown, the polyp has also increased in size, and I can feel some soft cartilage upon closer examination.
I would like to ask, at what age would it be more suitable for my baby to undergo surgery to remove the polyp? Thank you!

Macy, 20~29 year old female. Ask Date: 2005/03/07

Dr. Lu Daokuan reply Plastic Surgery

You can apply a topical anesthetic cream for one hour before administering a local anesthetic.
Whether to wait until the patient is older depends on the nature and location of the so-called "polyp." It's best to consult a plastic surgeon first.

Reply Date: 2005/03/07

More Info

When it comes to the appropriate age for surgery to remove ear polyps, particularly in infants, there are several factors to consider. In your case, your baby is currently nine months old and has a small ear polyp that has been present since birth. As the polyp has grown in size, it is understandable that you are seeking guidance on the best timing for surgical intervention.

Firstly, it is important to note that ear polyps, also known as preauricular sinuses or ear tags, are generally benign and may not cause significant problems unless they become infected or cause cosmetic concerns. The decision to remove them often depends on their size, the presence of symptoms, and the potential for complications.

In terms of age, there is no strict guideline dictating when surgery should occur. However, many pediatric otolaryngologists (ear, nose, and throat specialists) recommend that surgery can be safely performed when the child is old enough to tolerate anesthesia and the procedure itself. Typically, this can be around the age of one year, as by this age, infants generally have a more developed immune system and are better able to handle the stresses of surgery and anesthesia.

In your situation, since the polyp has been growing and you can feel some cartilage, it may be advisable to consult with a pediatric otolaryngologist for a thorough evaluation. They can assess the polyp's characteristics and determine if it poses any risks, such as infection or obstruction. If the polyp is causing discomfort or has the potential to lead to complications, earlier intervention may be warranted.

Regarding anesthesia, while there are inherent risks associated with any surgical procedure, pediatric anesthesia is generally safe when performed by experienced professionals. The risks can be minimized by ensuring that the child is healthy and by following pre-operative guidelines provided by the medical team.

In summary, while there is no one-size-fits-all answer to the ideal age for surgery to remove ear polyps, many specialists suggest that waiting until the child is at least one year old is reasonable, provided that the polyp does not present any immediate concerns. It is crucial to have an open discussion with your child's healthcare provider to weigh the benefits and risks of surgery at this stage, considering the growth of the polyp and any associated symptoms.

Additionally, if you have concerns about the appearance of the polyp or its potential impact on your child's hearing or overall health, these should also be addressed during your consultation. The healthcare provider will be able to provide personalized recommendations based on your child's specific situation, ensuring that you make an informed decision regarding the timing of the surgery.

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