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Earlobe reconstruction with an inferior pedicle flap
Xinxin Zhou1, Mengjuan Li1, Min Qi1
1Department of Plastic and Aesthetic Surgery, Xiangya Hospital, Central South University, People' s Republic China.
Summary
This study presents an inferior pedicle flap technique for natural-looking earlobe reconstruction. This method avoids skin grafts and results in concealed scars, offering a novel approach for the procedure.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Otolaryngology
Background:
- Earlobe reconstruction presents challenges in achieving natural aesthetics and reliable vascularization.
- Existing techniques may require skin grafts or result in noticeable scarring.
Purpose of the Study:
- To describe a novel inferior pedicle flap technique for earlobe reconstruction.
- To evaluate the aesthetic and functional outcomes of this reconstructive method.
Main Methods:
- The inferior pedicle flap was designed and marked based on the contralateral normal earlobe dimensions.
- The flap was raised, folded to form the new earlobe, and sutured to the defect site.
- The donor site was managed with direct closure.
Main Results:
- The reconstructed earlobes demonstrated reliable vascularization and a natural appearance.
- The technique eliminated the need for skin grafts at the donor site.
- Postoperative scars were minimal and concealed within natural contours.
Conclusions:
- The inferior pedicle flap offers a viable and aesthetically pleasing solution for earlobe reconstruction.
- This technique provides a new perspective and potential improvement in reconstructive surgery for earlobe defects.

