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Techniques For the Revision of Large Gauged Earlobe Defect
Aaron I Dadzie1, Henning De May, Sydney Somers
1Department of Surgery, Division of Plastic and Reconstructive Surgery, University of Utah School of Medicine, Salt Lake City, UT.
The Journal of Craniofacial Surgery
|September 11, 2025
Summary
This study compares three earlobe reconstruction techniques for large defects caused by ear gauges. A novel hybrid 2-flap technique demonstrated excellent cosmetic results and patient satisfaction.
Area of Science:
- Plastic Surgery
- Body Modification Reconstruction
Background:
- Ear gauges are prevalent worldwide for aesthetic and cultural reasons.
- Existing literature on surgical reconstruction for large gauged earlobe defects is limited.
Purpose of the Study:
- To compare three earlobe reconstruction techniques.
- To introduce and evaluate a novel hybrid 2-flap technique for large defects.
Main Methods:
- Descriptive report of three surgical techniques at a single institution.
- Techniques include vertical incision and closure, and two variations of a 2-flap approach with de-epithelization and flap rotation.
Main Results:
- No intraoperative or postoperative complications were reported.
- All patients achieved excellent cosmetic outcomes and were discharged same-day.
- The hybrid flap technique effectively reconstructs large defects, ensuring natural earlobe helix continuity.
Conclusions:
- The hybrid 2-flap technique offers excellent cosmetic results for large gauged earlobe defects.
- Surgical approach selection requires consideration of defect size, tissue characteristics, and patient preferences.
- Clinical judgment and patient discussion are crucial for optimal outcomes.
