Subcutaneous pedicle island flap for complex congenital earlobe cleft correction

Congenital cleft earlobe is rare, but earlobe clefts are nevertheless the most common lower auricular malformations. There are various types of earlobe clefts and there is no universally recognized classification scheme. Different techniques have been reported for the correction of the various types of anomaly. This paper presents a complex subtype cleft that has not previously been reported in the literature and describes the technique used to achieve a three-dimensional reconstruction with a satisfactory result.