Rotation flap lobuloplasty: technique and experience with 24 partially torn earlobes

Multiple techniques exist for the repair of partial earlobe deformities. The procedures in use vary from minimal interventions involving marginal excision and closure, to cartilage grafting to prevent recurrence. A prospective study was conducted of 24 partial earlobe deformity repair procedures using the technique devised by the authors, involving a rotation flap for reduction of the defect size. Aesthetic outcomes and postoperative complications were assessed on the basis of clinical findings and photographic documentation. Sixteen female patients underwent the procedure of rotation flap repair of partial earlobe deformities (24 earlobes) between July 2011 and August 2012. The average age of the patients was 44 years, and the average length of follow-up was 14 months. Patient satisfaction was good. Adequate functional and cosmetic results were achieved in the first 2 weeks for 19 earlobes (79%). Good results were seen during 1 year of follow-up. The rotation flap technique appears to offer an effective method for partial earlobe defect repair, and thus provides another option for the management of partial earlobe defects.