Earlobe reconstruction by the Gavello technique and bilobed flap

Abstract

The earlobe is an anatomical structure that has a significant aesthetic role. Its surgical repair places a challenge due to the difficulty of obtaining a natural appearing and durable outcome. The authors present two options: the Gavello technique and the bilobed flap, after the excision of malign neoplasms of the earlobe. The Gavello technique makes use of a bilobed flap with an anterior base to mold the new earlobe. D'Hooghe's bilobed flap with a pre and post-auricular lobe allows the reconstruction of small earlobes. Both techniques, although old, acquire an important and current interest in earlobe reconstruction, by reason of the moderate degree of difficulty, the use of a single time surgical act and under local anesthesia, with a proper aesthetic result.

Reconstructive Surgery of Auricular Defects: An Overview

“…More easily implemented techniques are also gaining acceptance and reconstruction of ear lobule through a one-stage procedure is reported with favorable aesthetic and symmetric outcomes. These techniques include the use of the Limberg-flap, a double-over skin flap, two superiorly based flaps rotated towards the middle or a bilobed flap with an anterior base ( 42 - 44 ).…”

The versatility of transposition flaps for repair of segmental auricular defects after skin cancer surgery

“…1c). In two cases of earlobe amputation, reconstruction using Gavello’s technique was necessary 3 ; this involves a bilobed flap with an anterior base and pedicle, located beneath the surgical site defect. After raising the flap, it is folded upon itself, reconstructing the earlobe (Fig.…”

Freestyle perforator flap in earlobe reconstruction

“…The pattern of the defect, the vascularity of the surrounding tissues, and the sites of previous scars all influence the choice of the flap. Preauricular, retroauricular, infraauricular, retromandibular, or auricular skin are common sources for flaps in earlobe reconstruction [4].…”