Modified bilobed flap for one-stage earlobe reconstruction: a case report

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Otolaryngology

Background:

• Earlobe reconstruction for congenital or acquired defects often involves multi-stage procedures or skin grafts.
• Existing techniques using pedicled or bilobed flaps typically require two stages or additional grafting for satisfactory aesthetic outcomes.

Observation:

• A modified geometrical approach to Gavello's double-lobed flap technique for earlobe reconstruction was developed.
• This modification allows for precise shaping of the earlobe's anatomical curvature.

Findings:

• The revisited technique enables single-stage earlobe reconstruction.
• It effectively reduces skin retraction without necessitating skin grafts or secondary scars.
• The modified flap provides improved aesthetic results and a more natural appearance.

Implications:

• This technique offers a more efficient and aesthetically superior option for earlobe reconstruction.
• It minimizes patient morbidity by avoiding staged procedures and skin grafts.
• The geometrical modification enhances the versatility and outcomes of established reconstructive methods.