Repair of Partial Earlobe Cleft Using a "Purse-String" Repair

Abstract

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Laser Earlobe Revision

“…Numerous techniques have been described to repair the torn earlobe. Surgical methods include simple straight‐line and purse string closures as well as the use of Z‐plasty, L‐plasty, inverted “V” excisions, and flap maneuvers . Straight‐line surgical repair is simpler and faster than previously mentioned surgical methods, although it typically does not provide the best cosmetic outcome .…”

“…Torn earlobes, also known as earlobe clefts, are a complication secondary to ear piercing and a common cosmetic complaint . Earlobe tears may occur acutely from trauma such as pulling, entanglement, or abuse or from chronic heavy earring application, prolonged traction, repetitive tension from activities such as jogging, or the facial aging process . Torn earlobes are classified as complete (full tear) or incomplete (partial tear) based on whether the skin bridge at the periphery of the earlobe is intact .…”

“…Various techniques have been described for repairing torn earlobes, with the majority involving surgical methods ranging from simple excision with primary closure to the incorporation of purse string closure, Z‐plasty, L‐shaped flaps, or a combination of these . More‐recent techniques have incorporated lasers and chemicals for nonsurgical treatment of incomplete tears …”

Triangular Rotation Flap for Repair of Partial Earlobe Deformity

“…Many modifications, such as half Z plasty, lateral skin Z plasty, and complete Z plasty, have been suggested to minimize this scarring. Vujevich described closure of partial clefts using a purse string repair technique in which the margins of the defect are de‐epithelized, and purse string sutures are passed through the defect margins and tied, closing the partial defect.…”

Partially Torn Ear Lobe Repair Using a Cross-Stitching Technique

“…The dermatologic surgeon is requested to correct the laceration and enable the patient to wear earrings as soon as possible. There is more than one technique to reconstruct such a defect 1–4 . The simplest way is to refresh the defect borders and place sutures to approximate the margins of both sides of the ear lobe.…”