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Cleft earlobe repair.

J Fearon1, C L Cuadros

  • 1Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital/Harvard Medical School, Boston.

Annals of Plastic Surgery
|March 1, 1990
PubMed
Summary
This summary is machine-generated.

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The L-plasty technique provides superior cosmetic results for cleft earlobe repair compared to simple techniques, minimizing notching and improving the lobular border. This method offers a smoother outcome with fewer complications.

Area of Science:

  • Plastic Surgery
  • Otolaryngology
  • Cosmetic Surgery

Background:

  • Cleft earlobe is a congenital or acquired deformity.
  • Surgical repair aims to restore normal earlobe anatomy and aesthetics.
  • Various techniques exist, each with potential for scarring and notching.

Purpose of the Study:

  • To compare the cosmetic outcomes of simple versus L-plasty techniques for cleft earlobe repair.
  • To evaluate the incidence of notching and other complications associated with each method.

Main Methods:

  • Retrospective analysis of 9 patients undergoing 11 cleft earlobe repairs.
  • Repairs included 2 simple techniques and 9 L-plasty techniques.
  • Follow-up averaged 5.5 months (range, 2-18 months) with assessment of cosmetic results.

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Main Results:

  • Simple repairs resulted in moderate notching along the inferior lobular border in both cases.
  • Only 1 of 9 L-plasty repairs showed slight notching.
  • No complications were reported for either technique.

Conclusions:

  • The L-plasty technique is associated with significantly better cosmetic outcomes in cleft earlobe repair.
  • This technique effectively minimizes scar contracture, leading to a smoother lobular border.
  • A variation allows for simultaneous lobule reduction when necessary.