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Traumatic cleft earlobe repair using double triangular flap from epithelialized skin of cleft margin
1From the Department of Plastic Surgery, Ewha Womans University Hospital, Seoul, Korea.
The Journal of Craniofacial Surgery
|April 5, 2014
Summary
This study presents a novel technique for repairing cleft earlobes using existing scar tissue, preserving healthy tissue. The method successfully reconstructed cleft earlobes without scar contracture or notching in twelve patients.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Otolaryngology
Background:
- Traumatic cleft earlobe is a common ear deformity.
- Existing repair techniques often sacrifice healthy tissue or require additional flaps.
- There is a need for tissue-preserving methods to repair cleft earlobes.
Purpose of the Study:
- To introduce a new surgical technique for cleft earlobe repair.
- To evaluate the efficacy of using epithelialized scar tissue for reconstruction.
- To avoid sacrificing healthy tissue and minimize scarring.
Main Methods:
- A novel technique utilizing epithelialized scar tissue from the cleft margin was employed.
- Two triangular flaps were elevated from the scar tissue.
- Flaps were rotated 90 degrees into a fish-mouth incision to reconstruct the earlobe.
Main Results:
- Twelve cases of secondary cleft earlobe deformity were successfully repaired.
- The technique preserved healthy earlobe tissue.
- No instances of scar contracture or notching of the earlobe border were observed after a minimum 3-month follow-up.
Conclusions:
- This technique offers an effective method for cleft earlobe repair by utilizing scar tissue.
- It successfully elongates and breaks the linear scar, improving aesthetic outcomes.
- The method is tissue-sparing and avoids complications like contracture and notching.
