Triple-Lobe Cleft Ear Repair Using an Islandized Lobule Flap: A Novel Single-Stage Technique

The authors report a novel, single-stage surgical technique for the repair of a rare congenital triple-lobe cleft earlobe in a 13-year-old girl. The deformity was characterized by 3 distinct lobular segments: 1 anterior and 2 posterior (medial and lateral). Our technique utilizes a posteriorly based island flap derived from the anterior lobule and redistributes tissue volume by repositioning the medial and lateral posterior segments into a single unified lobe. This method avoids grafts, wedge excisions, or Z-plasties and maintains lobular contour through subcutaneous tunneling and geometric realignment. The procedure was successful, with no complications and excellent aesthetic outcomes. Compared with previous multistage or more invasive approaches, this technique offers a simple, conservative solution that preserves native tissue and improves cosmetic results. We believe it is a valuable addition to the reconstructive strategies available for rare lobular clefts.