Bi-lobar post-auricular skin flap for reconstruction of the earlobe

Khemani, Sameer; Rannard, Francesca; Kenyon, Guy

doi:10.1017/s0022215107008511

Cited by 12 publications

(6 citation statements)

References 9 publications

(9 reference statements)

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“…[34678111213] They broadly fall into five categories: (a) Preauricular flap reconstruction; (b) postauricular flap reconstruction; (c) superimposition of two opposing or paired flaps; and (d) tissue expansion using a tubed flap; (e) a combination of techniques. [4] Some of the drawbacks of these described methods include; burden on the patient from a two-stage procedure, an unnatural contour of the lobule, firmness due to placement of cartilage and flaps from the neck may bring abnormally hairy skin to the ear lobule.…”

Section: Discussionmentioning

confidence: 99%

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Single stage reconstruction of type IIA defect of the ear lobule: The limberg flap technique revisited

Ibrahim

2014

J Surg Tech Case Report

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The ear lobule is an important reference point for symmetry of the face and its loss causes an obvious aesthetic abnormality. Type II A defects are characterized by loss of the ear lobule without presence of a nubbin of tissue attached to the cheek. Such defects are typically seen in individuals having an unattached ear lobule. The goal of surgery should be an aesthetically pleasing reconstruction that maintains symmetry with the opposite ear lobule. The Limberg-flap technique using a doubled-over skin flap allows a one stage reconstruction of the ear lobule. It is technically simple and may be performed under local anesthesia. The aesthetic results are generally well acceptable and there is a good color match between the neolobule and the surrounding skin.

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Section: Discussionmentioning

confidence: 99%

“…Grafted cartilage prevents scar contracture, but a deformity may result from secondary absorption of the cartilage. [3]…”

Section: Discussionmentioning

confidence: 99%

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Single stage reconstruction of type IIA defect of the ear lobule: The limberg flap technique revisited

Ibrahim

2014

J Surg Tech Case Report

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“…10 A mutilobar combined flap could be an alternative method for single-stage coverage of defects in this particular circumstance. Since clinic application of the dorsalis pedis arterybased mutilobar combined flap was reported in 1995, 11,12 other combined flaps from areas of scapular, 1,13 postauricular, 14 abdominal, 15 groin, 16 and lateral circumflex femoral 2 have also been introduced for reconstructive surgery. Zhang first reported PTA flap transfer in 1984.…”

Section: Discussionmentioning

confidence: 99%

Posterior tibial artery‐based multilobar combined flap free transfer for repair of complex soft tissue defects

et al. 2008

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In this report, the posterior tibial artery (PTA) based multilobar combined flap is introduced for the repair of complex soft tissue defects. The flap was designed based on the perforatoring branches of PTA in the anterior soleus muscle septum, which supply the skin over the medial side of the calf and the entire soleus muscle. The saphenous nerve was included in one perforator flap of the combined flap for reinnervation. The tibial artery was repaired with a vein graft after harvest of flap. From October 2005 to February 2007, eight patients (6 males, 2 females) underwent PTA-based multilobar combined flap transfer for coverage of soft tissue defects involving the foot (three cases), hand (two cases), and calf (three cases). Each combined flap composed of two to three perforator flaps, and the size of the perforator flaps ranged from 4 x 2 cm to 10 x 8 cm. With an average follow-up of 6 months, all flaps survived without complications and injured extremities showed a good functional recovery with restoration of the partial protective sensation on the flap with reinnervation. This clinical report has shown that a reliable multilobar combined flap can be designed based on the perforators of the posterior tibial artery and used for coverage of the complex wound.

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“…In the past, various earlobe-reconstruction methods have been reported. [1][2][3][4][5][6][7][8][9] To generate a reasonable facsimile of the original earlobe, surgeons must choose carefully between these surgical options on the basis of the particularities of the defect.…”

mentioning

confidence: 99%

Posterior Auricle Bilobed Cartilage-skin Flap for Reconstructing the Earlobe: A Case Report

Nakazawa,

Ishii,

Akimoto

et al. 2024

Plastic and Reconstructive Surgery - Global Open

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Summary: Because the auricle plays an important role in facial aesthetics, all earlobe operations must seek to limit postoperative ear deformity. This report describes the single-stage posterior-auricle bilobed cartilage-skin flap technique for reconstructing the earlobe. A 31-year-old man incurred a left earlobe deficiency due to a human bite. Earlobe reconstruction was conducted 102 days later. A bilobed flap was designed on the posterior-auricular skin. Both flaps were pedicled in the caudal posterior-auricular area. The first incision raised the upper lobe, which consisted of posterior-auricle skin and conchal cartilage. The skin was sutured to the auricle base so that it formed the anterior earlobe. The cartilage was then cut to separate and processed to the natural curve. The second incision elevated the second flap from the caudal posterior-auricular area. This was sutured to the first flap so that it formed the posterior earlobe. The donor sites were closed with simple sutures. The reconstructed earlobe had no obvious contracture after surgery. Most donor-site scarring was hidden behind the auricle. At 9 months postoperative, the patient was satisfied with the result. Our technique allows us to harvest cartilage from the same operative field, perform a single-stage reconstruction, and recreate a relatively large earlobe with good size and shape. The posterior auricle bilobed cartilage-skin flap technique is useful for earlobe reconstruction.

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Bi-lobar post-auricular skin flap for reconstruction of the earlobe

Abstract: This form of repair has the advantage of a well-hidden scar, with the donor site providing skin of similar thickness and pigmentation.

Cited by 12 publications

References 9 publications

Single stage reconstruction of type IIA defect of the ear lobule: The limberg flap technique revisited

Single stage reconstruction of type IIA defect of the ear lobule: The limberg flap technique revisited

Posterior tibial artery‐based multilobar combined flap free transfer for repair of complex soft tissue defects

Posterior Auricle Bilobed Cartilage-skin Flap for Reconstructing the Earlobe: A Case Report

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