Protruding ear

Almeida Aesthetic

bat ears are often used in a slightly pejorative way for protruding ears and can become a psychological burden for patients. While small children or children are usually seen cute, otapostasis in puberty cause serious problems in self-esteem. Dr. Sawatzki is your specialist with more than 20 years of experience. In the following article, the different methods as well as mistakes are explained in detail.


From a medical perspective, there is a clear definition of when the indication of protruding ears is present. A protruding ear is present when the angle of the ear at a distance from the head is more than 30 degrees. In addition, there are certainly subjective assessments that define this differently.

From the aspect of a takeover by the health insurance it has to be checked whether the medical indication of bat ear / protruding ear is present with addition of the medical classification.

Subdivision into 3 levels

The auricle malformations are divided into three degrees and help for a further medical evaluation by the otolaryngologists.

dysplasia 1 Bei der Dysplasie 1 sind die meisten anatomischen Strukturen der Ohrmuschel vorhanden. Hierzu zählen u. a. abstehende Ohren (Apostasis otum), Tassenohr °I und Tassenohr °II. Dazu gehören auch Stahlsohr, Tassenohr, fehlende Helixausformung. Satyrohr, abstehende Ohrmuschel, eingerolltes Ohr (Ganzer Typ I)
dysplasia 2 Bei der Dysplasie 2 sind nur einige Strukturen der normalen Ohrmuschel vorhanden. Hierzu zählen u. a. Tassenohr °III und das Miniohr.
dysplasia 3 Bei der Dysplasie 3 sind normale Ohrmuschelstrukturen praktisch nicht vorhanden, es existieren lediglich Rudimente. Hierzu zählen u. a. Mikrotie °III, Anotie und die Dystopie.

Prominent ears occur with adults, children and frequently already as infants. In the medical history there is often a familial accumulation and damaging influences in the early pregnancy. In the case of familial accumulation, the idea of human genetics is recommended in order to be able to assess the occurrence in other children.

The following information describes the treatment and operation of protruding ears. Although in many cases " jug ears " are not seen as a medical blemish, an examination should be carried out by an ENT specialist who is not a plastic surgeon. The ENT doctor will check for any hearing loss or other disease in this area.


Otoplasty correction, protruding ears surgery or antheliplasty are common terms for plastic surgery in the field of ENT. The costs are covered by the health insurance depending on the medical indication and the age.

Regardless of the costs, the highest priority is to achieve the targeted result. You can rely on years of experience and get numerous examples of successful Otoplasty surgeries as before and after images in consultation.

Children / Toddlers

For children up to the age of 14, the costs are covered by the health insurance.

You should have your doctor confirm the medical indication and your health insurance will cover the costs.

Teenager / Adults

Teenagers (14 years and older) and adults may be subject to different regulations and may have to pay the costs themselves unless there is a medical indication.

Here, too, it must be clarified to what extent the health insurance will cover the costs.


The prices for the ear put depend on some factors.

  • Indication Patient
  • Place of surgery
  • Operational method
  • Expertise and experience ENT physician
  • Choice of anaesthesia
  • Inpatient / outpatient stay

If you have to bear the costs yourself, the costs are between 1900.- and 2900.- EUR, depending on the aforementioned factors.
The choice of a favorable OP is left to you. However, it is recommended to trust only the doctor who is the best in your eyes.