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Published on: June 20, 2018
Ear lobule reconstruction using nasal septal cartilage
Nicholas Bastidas1, Jordan M S Jacobs, Charles H Thorne
1Great Neck and New York, N.Y. From private practice and New York University, Institute of Reconstructive Plastic Surgery.
Plastic and Reconstructive Surgery
|April 2, 2013
Summary
This study presents a two-stage earlobe reconstruction technique using nasal septal cartilage. The method provides acceptable aesthetics and support with minimal complications for patients.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Reconstructive Surgery
Background:
- Earlobe reconstruction demands a balance between structural support and aesthetic delicacy.
- Existing techniques may not consistently achieve optimal cosmetic and functional outcomes.
Purpose of the Study:
- To describe and evaluate a two-stage ear lobule reconstruction technique.
- To assess the aesthetic results, patient satisfaction, and complication rates of this novel approach.
Main Methods:
- A two-stage surgical reconstruction was performed on six patients.
- The technique involved utilizing a mastoid skin pocket and cartilage graft from the nasal septum.
- Follow-up ranged from 1 to 6 years, averaging 3 years.
Main Results:
- All six patients achieved acceptable earlobe aesthetics, including the ability to have their ears pierced.
- No major complications such as flap loss, graft extrusion, septal perforation, or infection were reported.
- No revisions were necessary during the follow-up period.
Conclusions:
- The described two-stage technique effectively reconstructs the ear lobule using septal cartilage.
- This method preserves the earlobe's shape and definition while offering minimal patient morbidity.
- The procedure demonstrates a favorable safety profile and satisfactory aesthetic outcomes.
