Repair of Congenitally Defective Type of Earlobe Clefts With Residual Lobular Tissue: A Convenient and Effective Surgical Technique

• Published in: Aesthetic surgery journal 2023-09, Vol.43 (10), p.729-736
• Main Authors: Cai, Siyuan, Sheng, Yang, Lin, Liheng, Cui, Wei, Jiang, Zhiyuan, Zhang, Liyuan, Li, Qingqing, Cai, Zhen, Chen, Zaihong
• Format: Article
• Language: English
• Subjects: Ear Auricle - surgery; Ear, External - surgery; Esthetics; Humans; Plastic Surgery Procedures; Surgical Flaps - surgery
• ISSN: 1090-820X; 1527-330X; 1527-330X
• DOI: 10.1093/asj/sjad118

Abstract Background For patients with a congenitally defective type of earlobe cleft, repair techniques similar to those utilized for earlobe lacerations are not suitable due to the presence of certain tissue defects. However, traditional earlobe reconstruction techniques imply the need to form complex flaps with adjacent normal tissues, which may lead to many complications. Objectives In this study, we developed a technique to repair the earlobe with residual lobular tissue based on the characteristics of congenitally defective earlobe clefts. Methods We designed a triangular random flap out of the remnant lobular tissue, rotated and embedded into the edge of the remnant earlobe to repair the earlobe. Results In the past 3 years, this technique was applied to 15 patients with congenitally defective earlobe clefts. With this technique, the new earlobe achieved the desired aesthetic results, such as smooth edges and fullness of form, without complicated and unnecessary incisions. It also solved the aesthetic problem of residual lobular tissue on the face. Conclusions Based on the characteristics of the congenitally defective type of earlobe cleft, we innovatively proposed the utilization of residual lobular tissues for earlobe repair, and the feasibility and multiple advantages of this technique have been demonstrated in practice. Level of Evidence: 4