DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20175617

Step advancement flap technique of ear lobe repair

Harish M. O., Chethana R.

Abstract


Background: Ear piercing and ornament wearing is a historical tradition. Dilated ear lobe and torn earlobe usually results from sudden trauma or continuous use of heavy earrings. Various surgical techniques have been described for the correction of the same. Each procedure has its own pros and cons. The choice will depend on individual preferences and the defect, partial or total, and should offer a lower chance of recurrence. The corrections can be made with or without preservation of the earring orifice. The aim and objectives of this study was to present and discuss a novel technique of repairing the partial and complete cleft ear practiced at Karwar Institute of Medical Sciences Hospital, Karnataka, India.

Methods: A prospective study was done on the use of a novel technique “Step advancement flap” in the repair of partial and complete cleft ear lobe in 18 patients.  

Results: A good post-operative results were achieved in all the patients with maintained ear lobe thickness and a sutured skin scar away from the center.

Conclusions: Our technique has an advantage of maintaining the normal ear lobe thickness and the sutured skin scar away from the center on either side of the ear lobule compared to other techniques. Thus the neo piercing can be done at a fresh central skin avoiding the skin scar.


Keywords


Ear, Skin flap, Ear lobe repair, Neo-piercing, Dilated ear lobe

Full Text:

PDF

References


Cortese TA, Dickey RA. Complications of ear piercing. Am Fam Physician. 1971;4:66-72.

Haughie GE, Biggar RJ. Medical problems of ear piercing. NY State J Med. 1975;75:1460-2.

Sharma R, Krishna S, Kumar S, Verma M. Rotation flap lobuloplasty: technique and experience with 24 partially torn earlobes. Int J Oral Maxillofac Surg. 2014;43:1206–10.

Hawass Z. The golden age of Tutankhamun: divine might and splendour in the New Kingdom. American University in Cairo Press; 2004.

McLaren LR. Cleft earlobe: a hazard of wearing earrings. Br J Plast Surg. 1954;7:162-5.

Reiter D, Alford E. Torn earlobe: A new approach to management with a review of 68 cases. Ann Otol Rhinol Laryngol. 1994;103:879-84.

Avenavoli FM. Split earlobe: repair using a half Z-plasty technique. Plast Reconstr Surg. 1996:98:372-3.

Vujevich J, Obagi S. Repair of partial earlobe cleft using a “pursestring” repair. Dermatol Surg. 2006;32:969-71.

Apesos J, Kane M. Treatment of traumatic earlobe clefts. Aesth Plast Surg. 1993;17:253-5.

Tromovitch TA, Stegman SJ, Glogau RG. Flaps and grafts in dermatologic surgery. St Louis: Mosby; 1989.

Casson P. How do you repair a split earlobe? J Dermatol Surg. 1976;2:21.

Fatah MF. L-plasty technique in the repair of split ear lobe. Br J Plast Surg. 1985;38:410-4.

Harahap M. Repair of split earlobes. A review and a new technique. J Dermatol Surg Oncol. 1982;8:187-91.

Kalimuthu R, Larson BJ, Lewis N. Earlobe repair: a new technique. Plast Reconstr Surg. 1984;74:299-300.

Effendi SH. Reconstruction of the middle-aged torn earlobe: a new method. Br J Plast Surg. 1988;41:174-6.

Boo-Chai K. The cleft ear lobe. Plast Reconstr Surg. 1961;28:681-8.

Pardue AM. Repair of the torn earlobe with preservation of the perforation for an earring. Plast Reconstr Surg. 1973;51:472-3.

Ribeiro AA, Lourenço LM, Matsuda THCB, Ferrari NM. Split earlobe repair: literature review and new technique proposal. Surg and Cosmetic Dermatol. 2009;1(3):141-4.

Hamilton R, LaRossa D. Method for repair of cleft earlobes. Plast Reconstr Surg. 1975;55(1):99-101.

Buchan NG. The cleft ear lobe: a method of repair with preservation of the earring canal. Br J Plast Surg. 1975;28:296-8.

Argamaso RV. The lap-joint principle in the repair of the cleft earlobe. Br J Plast Surg. 1978;31:337-8.

Elsahy NI. Reconstruction of the cleft earlobe with preservation of the perforation for an earring. Plast Reconstr Surg. 1986;77:322-4.

Zoltie N. Spilt earlobes: a method of repair preserving the hole. Plast Reconstr Surg. 1987;80:619-21.

Rich JD, Gottlieb V, Shesol BF. A simple method for correction of the pixie earlobe. Plast Reconstr Surg. 1982;69:136–8.