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A Modified Technique for Repairing the Defective Type Congenital Earlobe Cleft
Jingwei Feng1, Jinxiu Yang, Jiajun Zhi
1All authors are affiliated with the Plastic Surgery Hospital and Institute, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Summary
This study shows a new surgical technique for congenital earlobe clefts is effective. The subauricular tongue-shaped flap offers a reliable solution with high patient satisfaction and minimal scarring.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Congenital Abnormalities
Background:
- Congenital earlobe clefts, especially defective types with tissue deficiency, pose significant reconstructive challenges.
- Specialized surgical techniques are necessary for effective repair.
Purpose of the Study:
- To assess the efficacy and safety of a preformed, inverted, and anastomosed subauricular tongue-shaped flap.
- To treat defective-type congenital earlobe clefts.
Main Methods:
- Twenty patients with unilateral defective-type congenital earlobe clefts underwent surgical correction.
- A tongue-shaped flap from the subauricular region was utilized.
- Outcomes were evaluated by two independent surgeons using a 15-point scoring system.
Main Results:
- The mean assessment score was 13.4, indicating good outcomes.
- 90% of patients achieved good results, with only 10% having fair outcomes.
- Minor complications were observed in 10% of patients, and 85% reported high satisfaction.
Conclusions:
- The described flap technique is a reliable method for repairing defective-type congenital earlobe clefts.
- The technique offers a natural appearance and results in minimal scarring.
- This approach demonstrates good efficacy and safety in reconstructive surgery.
