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European Journal of Plastic Surgery
Published in: European Journal of Plastic Surgery 6/2018

01-12-2018 | Ideas and Innovations

Ear lobe rotation flap for the reconstruction of full-thickness defects of the middle third of the auricle

Authors: Omar Jaber, Giorgia De Salvia, Matteo D’Ambrosio, Daniele Blandini

Published in: European Journal of Plastic Surgery | Issue 6/2018

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Abstract

The authors propose a novel surgical technique for reconstruction of full-thickness defects of the middle portion of the auricle including the helix and the antihelix up to the neighboring portion of the concha and sparing the whole of the ear lobe. It is a single-stage procedure that is indicated when a large, redundant, and pendulous earlobe exists as typically occurs in the elderly patient. The earlobe is rotated into the full-thickness ear defect and fits as an inlay between two cartilaginous stumps. The ear lobe presents two anatomical patterns: the pendulous or free one, with the ear lobe lying free from the cheek, and the non-pendulous or attached one, where the ear lobe is attached to the cheek. Donor site deformity is therefore limited to the conversion of a pendulous ear lobe pattern into an attached one. Surgery may be scheduled in an outpatient basis as the procedure is easy to plan, is fast to perform, and is carried out under local anesthesia.
Level of Evidence: Level IV, therapeutic study.
Literature
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Brent B (1990) Reconstruction of the auricle. In: McCarthy JG (ed) Plastic surgery. W.B. Saunders Co., Philadelphia, pp 2094–2152
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Antia NH, Buch VI (1967) Chondrocutaneous advancement flap for the marginal defect of the ear. Plast Reconstr Surg 39(5):472–477CrossRef
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Butler CE (2008) Single-stage reconstruction of middle and lower third helical rim defects using chondrocutaneous helical rim and lobular advancement flaps and a scaphal reduction cartilage graft. Plast Reconstr Surg 122(2):463–467CrossRef
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Low DW (1998) Modified chondrocutaneous advancement flap for ear reconstruction. Plast Reconstr Surg 102(1):174–177CrossRef
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Basu I, Way B, Al-Basri I (2013) A novel lobule rotation flap for the reconstruction of middle third auricular defects. Int J Dermatol 52(12):1544–1546CrossRef
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Zilinsky I, Cotofana S, Hammer N, Feja C, Ebel C, Stavrou D, Haik J, Farber N, Winkler E, Weissman O (2015) The arterial blood supply of the helical rim and the earlobe-based advancement flap (ELBAF): a new strategy for reconstructions of helical rim defects. J Plast Reconstr Aesthet Surg 68(1):56–62CrossRef
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Metadata
Title
Ear lobe rotation flap for the reconstruction of full-thickness defects of the middle third of the auricle
Authors
Omar Jaber
Giorgia De Salvia
Matteo D’Ambrosio
Daniele Blandini
Publication date
01-12-2018
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Plastic Surgery / Issue 6/2018
Print ISSN: 0930-343X
Electronic ISSN: 1435-0130
DOI
https://doi.org/10.1007/s00238-018-1442-z

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