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Correction of Ear Lobe Deformities

  • Sarah Benyo
    Affiliations
    The Pennsylvania State University, College of Medicine, 500 University Drive, Hershey, PA 17033, USA
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  • Kasra Ziai
    Affiliations
    Department of Otolaryngology–Head and Neck Surgery, The Pennsylvania State University, College of Medicine, 500 University Drive, Hershey, PA 17033, USA
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  • Jessyka G. Lighthall
    Affiliations
    Division of Facial Plastic & Reconstructive Surgery, Department of Otolaryngology–Head and Neck Surgery, The Pennsylvania State University, College of Medicine, 500 University Drive, Hershey, PA 17033, USA
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  • Scott Walen
    Correspondence
    Corresponding author. Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology–Head and Neck Surgery, The Pennsylvania State University, College of Medicine, 500 University Drive, H091, Hershey, PA 17033-0850.
    Affiliations
    Division of Facial Plastic & Reconstructive Surgery, Department of Otolaryngology–Head and Neck Surgery, The Pennsylvania State University, College of Medicine, 500 University Drive, Hershey, PA 17033, USA
    Search for articles by this author
      There is a multitude of different congenital and acquired causes that account for the wide variety of presentations of earlobe deformities.

      Keywords

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      References

        • Zhao H.
        • Ma L.
        • Qi X.
        • et al.
        A morphometric study of the newborn ear and an analysis of factors related to congenital auricular deformities.
        Plast Reconstr Surg. 2017; 140: 147-155https://doi.org/10.1097/prs.0000000000003443
        • Siegert R.
        • Magritz R.
        Otoplasty and auricular reconstruction.
        Facial Plast Surg. 2019; 35: 377-386https://doi.org/10.1055/s-0039-1693745
        • Porter C.J.
        • Tan S.T.
        Congenital auricular anomalies: topographic anatomy, embryology, classification, and treatment strategies.
        Plast Reconstr Surg. 2005; 115: 1701-1712https://doi.org/10.1097/01.prs.0000161454.08384.0a
        • Byrd H.S.
        • Langevin C.J.
        • Ghidoni L.A.
        Ear molding in newborn infants with auricular deformities.
        Plast Reconstr Surg. 2010; 126: 1191-1200https://doi.org/10.1097/PRS.0b013e3181e617bb
        • Chang C.S.
        • Bartlett S.P.
        A simplified nonsurgical method for the correction of neonatal deformational auricular anomalies.
        Clin Pediatr (Phila). 2017; 56: 132-139https://doi.org/10.1177/0009922816641368
        • Conrad K.
        • Reifen E.
        Congenital cleft ear lobe deformity: a staged reconstruction.
        J Otolaryngol. 1994; 23: 19-22
        • Kitayama Y.
        • Yamamoto M.
        • Tsukada S.
        Classification of congenital cleft earlobe.
        Jpn J Plast Reconstr Surg. 1980; 11: 663-670
        • Yamada A.
        • Fukuda O.
        • Soeda S.
        • et al.
        The evaluation of cleft earlobe.
        . 1967; 19: 171-175
        • Mc L.L.
        Cleft ear lobes: a hazard of wearing ear-rings.
        Br J Plast Surg. 1954; 7: 162-165https://doi.org/10.1016/s0007-1226(54)80019-1
        • Vargas-Laguna E.
        • Imbernón-Moya A.
        • Lobato Berezo A.
        Incomplete cleft earlobe reconstruction using a Z-plasty or hammock flap.
        Actas Dermosifiliogr. 2016; 107: 775-776https://doi.org/10.1016/j.ad.2016.05.013
        • Abenavoli F.M.
        Split earlobe: repair using a half Z-plasty technique.
        Plast Reconstr Surg. 1996; 98: 372-373https://doi.org/10.1097/00006534-199608000-00034
        • Agarwal R.
        Repair of cleft earlobe using double opposing Z-plasty.
        Plast Reconstr Surg. 1998; 102: 1759-1760https://doi.org/10.1097/00006534-199810000-00075
        • Lee P.K.
        • Ju H.S.
        • Rhie J.W.
        • et al.
        Two flaps and Z-plasty technique for correction of longitudinal ear lobe cleft.
        Br J Plast Surg. 2005; 58: 573-576https://doi.org/10.1016/j.bjps.2004.06.014
        • Tilt A.
        • Malphrus E.
        • Mantilla-Rivas E.
        • et al.
        Repair of pediatric split earlobe deformity with anterior straight-line closure and posterior Z-plasty: surgical technique and review of 26 cases.
        Ann Plast Surg. 2020; https://doi.org/10.1097/sap.0000000000002610
        • Malone C.H.
        • Codrea V.
        • Wagner Jr., R.F.
        Split earlobe repair with piercing preservation and optimal earlobe aesthetics.
        J Am Acad Dermatol. 2019; 80: e115-e116https://doi.org/10.1016/j.jaad.2018.04.042
        • Chiummariello S.
        • Iera M.
        • Arleo S.
        • et al.
        L-specular plasty versus double-round plasty: two new techniques for earlobe split repair.
        Aesthet Plast Surg. 2011; 35: 398-401https://doi.org/10.1007/s00266-010-9596-5
        • Fatah M.F.
        L-plasty technique in the repair of split ear lobe.
        Br J Plast Surg. 1985; 38: 410-414https://doi.org/10.1016/0007-1226(85)90254-1
        • Fearon J.
        • Cuadros C.L.
        Cleft earlobe repair.
        Ann Plast Surg. 1990; 24: 252-257https://doi.org/10.1097/00000637-199003000-00010
        • Allen L.
        • Munroe K.
        • Taylor S.M.
        A novel approach to earlobe reconstruction using the V to Y advancement flap.
        J Otolaryngol Head Neck Surg. 2021; 50: 32https://doi.org/10.1186/s40463-021-00513-1
        • Karaci S.
        • Köse R.
        Correction of congenital cleft earlobe with front and back flaps.
        J Korean Assoc Oral Maxillofac Surg. 2017; 43: 423-426https://doi.org/10.5125/jkaoms.2017.43.6.423
        • Kim Y.S.
        • Kook D.B.
        • Hwang E.
        A novel method for correction of the hypoplastic pixie earlobe deformity: V-Y advancement flap and dermofat graft.
        Ann Plast Surg. 2016; 76: 483-484https://doi.org/10.1097/sap.0000000000000301
        • Sharma R.
        • Krishnan S.
        • Kumar S.
        • et al.
        Rotation flap lobuloplasty: technique and experience with 24 partially torn earlobes.
        Int J Oral Maxillofac Surg. 2014; 43: 1206-1210https://doi.org/10.1016/j.ijom.2014.04.009
        • Sadasivan K.
        • Kochunarayanan A.
        A revised classification and treatment algorithm for acquired split earlobe, with a description of the composite technique and its outcome.
        Cureus. 2020; 12: e10422https://doi.org/10.7759/cureus.10422
        • Attalla M.F.
        Congenital earlobe cleft: a new technique for repair.
        Br J Plast Surg. 1990; 43: 223-225https://doi.org/10.1016/0007-1226(90)90165-v
        • Qing Y.
        • Cen Y.
        • Xu X.
        • et al.
        A new technique for correction of simple congenital earlobe clefts: diametric hinge flaps method.
        Ann Plast Surg. 2013; 70: 657-658https://doi.org/10.1097/SAP.0b013e31824144a7
        • Bhandari P.S.
        Congenital cleft earlobe: surgical repair.
        Plast Reconstr Surg. 2001; 108: 986-987https://doi.org/10.1097/00006534-200109150-00027
        • Karaci S.
        • Köse R.
        Simple correction of the congenital cleft earlobe.
        J Maxillofac Oral Surg. 2016; 15: 332-334https://doi.org/10.1007/s12663-015-0867-1
        • Basat S.O.
        • Ceran F.
        • Orman C.
        • et al.
        A new paradigm for surgical management of congenital triple lobe type cleft.
        J Craniofac Surg. 2015; 26: E319-E320https://doi.org/10.1097/scs.0000000000001703
        • Effendi S.H.
        Reconstruction of the middle-aged torn earlobe: a new method.
        Br J Plast Surg. 1988; 41: 174-176https://doi.org/10.1016/0007-1226(88)90047-1
        • Staiano J.J.
        • Niranjan N.S.
        Split earlobe repair using a double-flap technique.
        Ann Plast Surg. 2001; 47: 89-91https://doi.org/10.1097/00000637-200107000-00017
        • Adler N.
        • Margulis A.
        • Bauer B.S.
        Congenital pigmented nevi of the auricle: clinical experience and approach to treatment.
        Plast Reconstr Surg. 2009; 124: 1932-1939https://doi.org/10.1097/PRS.0b013e3181bf823b
        • Goulão J.
        • Alves J.
        Total earlobe reconstruction with a superiorly based preauricular flap.
        An Bras Dermatol. 2016; 91: 372-374https://doi.org/10.1590/abd1806-4841.20163897
        • Sleilati F.
        Immediate earlobe reconstruction with double-crossed skin flaps.
        J Plast Reconstr Aesthet Surg. 2006; 59: 1003-1005https://doi.org/10.1016/j.bjps.2006.03.003
        • Tannir D.
        • Leshin B.
        Utility of a bilayered banner transposition flap in reconstruction of the lower third of the pinna.
        Dermatol Surg. 2000; 26: 687-689https://doi.org/10.1046/j.1524-4725.2000.00047.x
        • Alconchel M.D.
        • Rodrigo J.
        • Cimorra G.A.
        A combined flap technique for earlobe reconstruction in one stage.
        Br J Plast Surg. 1996; 49: 242-244https://doi.org/10.1016/s0007-1226(96)90059-4
        • Chang J.
        • Awh C.
        • Riccio C.A.
        • et al.
        Earlobe reconstruction with an anteriorly based postauricular flap.
        Eplasty. 2020; 20: ic7
        • Mohan M.
        • Appukuttan P.K.
        • Srinivasan A.
        Earlobe reconstruction with a preauricular flap.
        Plast Reconstr Surg. 1978; 62: 267-270https://doi.org/10.1097/00006534-197808000-00018
        • Ohsumi N.
        • Shimamoto R.
        Earlobe reconstruction with a reversed-flow chondrocutaneous postauricular flap and a local flap.
        Plast Reconstr Surg. 1994; 94: 364-368https://doi.org/10.1097/00006534-199408000-00024
        • Chattopadhyay D.
        • Gupta S.
        • Murmu M.B.
        • et al.
        Revisiting Gavello's procedure for single-stage reconstruction of the earlobe: the vascular basis, technique and clinical uses.
        Can J Plast Surg Summer. 2012; 20: e22-e24
        • Cabral A.R.
        • Alonso N.
        • Brinca A.
        • et al.
        Earlobe reconstruction by the Gavello technique and bilobed flap.
        An Bras Dermatol. 2013; 88: 272-275https://doi.org/10.1590/s0365-05962013000200018
        • Fidalgo Rodríguez F.
        • Navarro Cecilia J.
        • Rioja Torrejón L.
        Earlobe reconstruction with a modified bilobed flap.
        Plast Reconstr Surg. 2010; 126: 23e-24ehttps://doi.org/10.1097/PRS.0b013e3181dab329
        • Emiroglu M.
        • Al-Saedi M.
        Gavello's procedure: an old earlobe reconstruction method, revisited and touched up.
        Aesthet Plast Surg. 2001; 25: 187-188https://doi.org/10.1007/s002660010120
        • Jain L.B.
        • Shankarappa M.
        Ear lobe reconstruction: a complexity simplified.
        J Plast Reconstr Aesthet Surg. 2014; 67: 1751-1754https://doi.org/10.1016/j.bjps.2014.07.035
        • Khemani S.
        • Rannard F.
        • Kenyon G.
        Bi-lobar post-auricular skin flap for reconstruction of the earlobe.
        J Laryngol Otol. 2007; 121: 1094-1095https://doi.org/10.1017/s0022215107008511
        • Roda Â.
        • Marcos-Pinto A.
        • Pimenta R.
        • et al.
        Earlobe reconstruction with a superiorly based bilobed infra-auricular flap.
        J Cutan Aesthet Surg. 2019; 12: 201-202https://doi.org/10.4103/jcas.Jcas_49_19
        • Pinto V.
        • Negosanti L.
        • Piccin O.
        • et al.
        Modified bilobed flap for one-stage earlobe reconstruction: a case report.
        Am J Otolaryngol. 2014; 35: 265-267https://doi.org/10.1016/j.amjoto.2013.10.007
        • Saadi R.A.
        • Ziai K.
        • Lighthall J.G.
        A novel technique for reconstruction of a congenitally absent earlobe.
        Ear Nose Throat J. 2020; 6 (145561320971930)https://doi.org/10.1177/0145561320971930
        • Cox A.
        • Sabbagh W.
        • Gault D.
        Costal cartilage or conchal cartilage for aesthetic and structural reconstruction of lower pole ear defects.
        Aesthet Surg J. 2012; 32: 271-274https://doi.org/10.1177/1090820x12436838
        • Agarwal R.
        • Chandra R.
        A new technique for repair of acquired split-ear-lobe deformity: the free conchal cartilage sandwich graft.
        J Plast Reconstr Aesthet Surg. 2010; 63: 499-505https://doi.org/10.1016/j.bjps.2008.11.040
        • Van Geertruyden J.P.
        Earlobe reconstruction with a reverse-flow chondrocutaneous flap.
        Br J Plast Surg. 2002; 55: 253-255https://doi.org/10.1054/bjps.2002.3817
        • Ohsumi N.
        Correction of severe ear deformity due to a congenital earlobe defect.
        Ann Plast Surg. 1996; 36: 212-218https://doi.org/10.1097/00000637-199602000-00021
        • Yotsuyanagi T.
        • Yamashita K.
        • Sawada Y.
        Reconstruction of congenital and acquired earlobe deformity.
        Clin Plast Surg. 2002; 29 (vii): 249-255https://doi.org/10.1016/s0094-1298(01)00010-4