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Referral pathways

Procedures not routinely provided by NHSScotland

  • Prominent Ear Correction for mild / moderate prominence.
  • Surgery should not be considered under the age of 8. New referrals over age 18 will not be considered.
  • Specialist ear reconstruction services should not be considered under this pathway.

Clinical psychology

  • All approved referrals will be seen by a specialist Clinical Psychologist.

BMI

  • There are no specific BMI restrictions.
  • If BMI is significantly raised, consider carefully whether patient is appropriate for this type of surgery.

Considerations for treatment

Indications for referral

  • Only extreme prominence (as assessed the referral panel, usually mastoid – helical rim >30mm) will be considered.
  • Severe asymmetry
  • Referral should be accompanied by a good quality photograph/image and clear indication of criteria for procedure.

Contraindications for referral

  • Prominent ear correction will not be supported.

Waiting Times

  • These patients are not subject to the 18 Weeks Referral to Treatment Standard.

Prominent ear correction surgery - evidence summary

Treatment for these conditions is not routinely offered by NHSScotland and can only be considered when all criteria are met.