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"},"1674":{"operation":{"name":"Extirpación de acrocordones preauriculares","alias":"preauricular-skin-tag-removal","use_for_listing":true},"country_price":{"US":{"amount":1500,"max_amount":3500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"MX":{"amount":550,"max_amount":1200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":450,"max_amount":1100,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":750,"max_amount":1400,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"MX":false,"TH":false,"ES":false}}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":2,"days_in_country":7,"rehabilitation_days":14,"satisfied_percent":78,"treatment_duration_hours":4},"illness_kind_details":{"requests_processed":110449}},"responsibleDoctor":{"id":1758,"alias":"ergin-er","name":"Ergin Er","photo":"doctor/5cd02aa7a3f4e","advisory_text":"El Dr. Ergin Er es cirujano plástico, reconstructivo y estético con más de 10,000 procedimientos estéticos. Ha sido galardonado en múltiples ocasiones en los Congresos Nacionales Turcos de Cirugía Plástica y realizó estudios avanzados en el Baylor College of Medicine de Houston, Texas.","linkedin":"","specialities":[{"id":"pls.001","name":"Cirujano plástico","illness_kind_id":38}]},"direction":{"id":38,"name":"Cirugía plástica","alias":"plastic-surgery"},"illness_kind":{"id":38,"name":{"en":"Plastic Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":14,"max":28,"unit":"days","qualifier":"Desk or light work once flap and graft are healing and ear is protected; manual or contact work takes longer."},"complication_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Any wound-healing complication (graft loss, delayed healing, exposure, infection) within 3 months; varies with cause, radiotherapy, smoking, surgeon."},"contraindications":["Unfit for general anesthesia","Active infection or unhealed skin disease at the ear site","Inadequate vascularized temporoparietal fascia (prior scarring or radiotherapy needs assessment)","Prior temporal vessel injury or scalp surgery (relative; vascular assessment)","Active smoking or nicotine use (relative; impairs healing)","Uncontrolled diabetes, bleeding disorder or other systemic disease (relative)","Recent radiotherapy to the area (relative)"],"days_in_clinic":{"min":1,"max":4,"unit":"nights","qualifier":"Planned inpatient flap and graft monitoring after uncomplicated surgery; longer with flap compromise, bleeding or infection."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Non-contact exercise after surgeon confirms healing, without ear pressure; contact sports need longer. Walking is encouraged early."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Swelling settles, graft color matures and scalp incision heals. Any revision extends the timeline."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"After discharge and first wound and graft checks, with surgeon clearance. Flap or graft concerns delay travel."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"Check dressing, flap, graft and framework cover; may occur before discharge if stay is longer."}},{"purpose":"suture_removal","requirement":"routine","after":{"min":7,"max":10,"unit":"days","qualifier":"Removal of scalp and graft-site sutures or dressings according to healing."}},{"purpose":"assessment","requirement":"conditional","after":{"min":4,"max":8,"unit":"days","qualifier":"Days after surgery, once discharged: skin cover, ear position and activity clearance."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Review of shape, skin cover, scalp hair and any revision discussion."}}],"indications":["Acquired total or near-total ear loss, e.g. trauma or burns","Total ear defect after tumor resection with healthy local tissue"],"main_risks":["Implant exposure through the fascia or skin","Implant or flap infection, possibly requiring implant removal","Temporoparietal fascia flap compromise or skin graft loss","Hematoma or bleeding","Scalp hair loss or scarring at the flap donor site","Facial nerve frontal branch injury (rare)","Altered sensation","Asymmetric or unsatisfactory aesthetic result","Need for revision surgery","Anesthesia-related risks"],"pain":"Moderate pain in the first days, usually controlled with prescribed oral analgesics. Scalp and skin graft donor-site soreness is common and improves over weeks.","preparation":["Surgical consultation assessing the defect, skin quality and scalp","Vascular assessment of superficial temporal vessels, often with Doppler","Photographs and planning with a template from the opposite ear","Preoperative medical assessment and fitness for general anesthesia","Stop smoking and nicotine before and after surgery","Hair clipping at the scalp site as instructed","Discuss expectations, alternatives (rib cartilage, prosthesis) and implant exposure risk","Fasting as instructed by the anesthetic team"],"recovery_timeline":[{"phase":"Hospital monitoring","description":"Usually 1-4 nights of inpatient flap and graft monitoring after general anesthesia, with oral analgesics. Gentle walking starts when allowed.","restrictions":["No pressure on the operated ear","Keep dressings in place and dry","No smoking or nicotine"]},{"phase":"Early home recovery (about weeks 1-2)","description":"Wound and graft checks, then suture removal. Light daily activity and walking are encouraged.","restrictions":["Avoid sleeping on the operated side","No lifting or straining as advised","Avoid hair products or heat near the scalp incision"]},{"phase":"Weeks 2-6","description":"Swelling settles and return to desk or light work is common. Ear protection continues.","restrictions":["Avoid pressure, knocks, tight headwear or glasses on ear","No contact activities","Avoid sun on the graft"]},{"phase":"Weeks 6-12","description":"Non-contact exercise may resume with surgeon clearance. Contact sports usually stay restricted longer.","restrictions":["Protect the ear from trauma","Avoid extreme cold or heat exposure on the ear"]},{"phase":"Months 3-12","description":"Swelling resolves and graft color and scalp hair settle toward the final appearance. Result review is held.","restrictions":["Lifelong protection from trauma, cold and sun injury"]},{"phase":"At any time","description":"Seek prompt assessment for exposed implant, dusky, blue or pale ear, worsening swelling or pain, discharge, fever, spreading redness or bleeding.","restrictions":["Do not wait for a scheduled visit","Do not manipulate or press on the ear"]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Return to routine daily activities after uncomplicated surgery, without formal physiotherapy; depends on healing and ear protection."},"result_longevity":"The porous polyethylene framework is permanent and usually keeps its shape if covered by healthy tissue. Late exposure after trauma or infection may need revision or removal.","revision_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Unplanned revision, graft repair or implant removal within 2 years; varies with cause, radiotherapy and smoking."},"scars":"Expected scars are a temporoparietal scalp incision, usually hidden within the hair, and a skin graft donor-site mark, with no rib-harvest scar in this protocol. Scalp hair thinning along the incision can occur.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One operative session for the primary single-stage protocol."},"stages":[{"code":"operation","label":"Framework placement, fascia flap coverage and skin graft","after":{"min":0,"max":0,"unit":"days","qualifier":"After Day of ear reconstruction surgery: Performed on the day of surgery."}},{"code":"inpatient_monitoring","label":"Inpatient flap and graft monitoring until discharge","after":{"min":1,"max":4,"unit":"days","qualifier":"After Day of ear reconstruction surgery: Uncomplicated course; discharge when flap and graft look viable and pain is controlled."}}],"qualifier":"Primary single-stage protocol; revision surgery or other techniques are outside this range."},"success":{"metric":"Framework retained with stable skin cover and acceptable ear shape, without implant removal","value":80,"unit":"percent","horizon":"12 months after 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