Background The ears increase in all dimensions over the years (eg, length, helix diameter, lobe length), but the most obvious change is the elongation or ptosis of the lobe. Its correction should be considered a part of facial rejuvenation. Objectives The authors presented the surgical procedure they have been utilizing to correct elongated earlobes. Methods The authors described a simple and effective procedure consisting of the curved resection of the excess tissue of the lobe at its lower end and its reconstruction through the utilization of 2 triangular flaps of skin, taken from the lateral surface of the lobe, rotated backwards, and sutured to the medial surface, leaving a zigzag hidden scar. Results The authors have utilized this surgical procedure over the last 16 years to correct ptosis of the earlobe as well as some of its other alterations due to aging. The results obtained are presented as well as the classification that the authors have utilized to qualify their degree of ptosis. Conclusions This procedure has yielded excellent results, with imperceptible scars, and is therefore very pleasing to patients and surgeon alike. Level of Evidence: 4
Background: The full creation of an ear requires 2 reconstruction stages. In the second stage of reconstruction, the cartilaginous framework placed at first stage is separated from the head creating an auriculocephalic sulcus. Then a piece of rib cartilage is placed in the sulcus to maintain this separation and is covered with tissue that allows the integration of a full-thickness skin graft. Methods: A descriptive study based on the pre and postoperative medical records and photographic archives of patients diagnosed with microtia who underwent separation of the cartilaginous framework from February 2010 to July 2015 in the Plastic and Reconstructive Surgery Department at Hospital General Dr. Manuel Gea González. Results: Fifty-four patients met the selection criteria. The temporoparietal fascial flap was performed on 85% (n = 46), and 8 cases with random occipito-temporal fascial flap in association to a dermal regeneration template. The average time at the operating room was 177 minutes in patients with temporoparietal fascial flap versus 84.5 minutes in dermal regeneration template. The complication rate was 25.9% (n = 14), being similar rate with both techniques. Conclusions: Coverage with dermal regeneration template and random occipito-temporal fascia flap as an alternative use instead of temporoparietal fascial flaps, offers good postoperative results, lower operating times, and similar rate of complications, with the advantage of producing no visible scars and reserve the temporoparietal fascial flap for possible exposure of the cartilaginous framework.
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