Modified bilobed flap for one-stage earlobe reconstruction: A case report

Negosanti, Luca; Piccin, Ottavio; Cipriani, Riccardo; Zannetti, Guido

doi:10.1016/j.amjoto.2013.10.007

Cited by 9 publications

(5 citation statements)

References 10 publications

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“… 2 Several variants of this approach have also been reported. 3 , 4 None of these methods involve cartilage grafting. These approaches yield acceptable aesthetic results.…”

Section: Discussionmentioning

confidence: 99%

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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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“… 2 Several variants of this approach have also been reported. 3 , 4 None of these methods involve cartilage grafting. These approaches yield acceptable aesthetic results.…”

Section: Discussionmentioning

confidence: 99%

“…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.…”

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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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“…Shen et al described the reconstruction of earlobe defects ranging in size from 5 to 8 mm using two rotation flaps; one from the lower auricle and the other from the infraauricular area with V-Y advancement flap closure of the donor defect [1]. Gavello in 1907, Mean surgeon aesthetic evaluation score 4.7 ± 0.4 described a bilobed flap; one lobe in the mastoid region and the other in the retroauricular region and his design was modified later by many authors [3,8,9]. Other techniques described include postauricular turnover flap with ipsilateral conchal cartilage graft [10], retro auricular anteriorly based flap [11], Infra-auricular bilobed superiorly based Flap [12], and preauricular superiorly based flap [13].…”

Section: Discussionmentioning

confidence: 99%

Freestyle perforator flap in earlobe reconstruction

Sadaka

Hantash

2022

BMC Surg

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Background In earlobe reconstruction, it is a challenging task to find a simple one-stage technique that is applicable to the variable configurations of defects and that results in a longstanding naturally appearing earlobe. Methods In this article, we present a perforator-based flap design for earlobe reconstruction with preoperative perforator detection by pencil doppler to ensure the maximum vascularity of the used flap. Thirty cases of earlobe reconstruction were performed in the Department of Plastic and Reconstructive Surgery at Tanta University in the period from July 2015 to July 2019 using the technique described in this article. Results None of our cases developed necrosis of the flaps. The mean result for the aesthetic evaluation of our cases was 4.7 and the mean patient satisfaction was 4.8 where the maximum score was 5. Conclusion freestyle perforator flap with preoperative doppler perforator detection is a safe and reliable method of earlobe reconstruction.

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“…In general, the residual deformity, the location of the scars, and the viability and similarity of the neighboring tissue are the main factors that determine the selection of the reconstructive method. [12345]…”

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confidence: 99%