Earlobe Reconstruction with a Modified Bilobed Flap

Management of the Congenital Cleft Earlobe with a Conchal Cartilage Graft

“…1 More complex techniques include preauricular tissue such as the cheek-neck flap, a two-stage reconstruction using a tubularized preauricular flap, and a preauricular bilobed flap or postauricular tissue such as a chondrocutaneous postauricular flap. 1,[7][8][9] Several of these techniques result in extensive scar contractures and a bulky earlobe, often with noticeable donor sites. Our technique provides a simple and reliable way of using readily available conchal cartilage for grafting and avoiding preauricular scarring.…”

Freestyle perforator flap in earlobe reconstruction

“…Shen et al described the reconstruction of earlobe defects ranging in size from 5 to 8 mm using two rotation flaps; one from the lower auricle and the other from the infraauricular area with V-Y advancement flap closure of the donor defect [1]. Gavello in 1907, Mean surgeon aesthetic evaluation score 4.7 ± 0.4 described a bilobed flap; one lobe in the mastoid region and the other in the retroauricular region and his design was modified later by many authors [3,8,9]. Other techniques described include postauricular turnover flap with ipsilateral conchal cartilage graft [10], retro auricular anteriorly based flap [11], Infra-auricular bilobed superiorly based Flap [12], and preauricular superiorly based flap [13].…”

Repair of Massive Earlobe Piercing and Plugs (Gauging)

“…Various techniques and flaps have been designed, but these may actually lengthen the earlobe and worsen the ptosis. 3 Excising the skin edges with primary closure lengthens the earlobe even more, especially when combined with a z-plasty to break up the scar. Bilobed flaps 3 are useful in earlobe absence but may not be necessary in this deformity.…”