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Reconstruction of a Traumatic Cleft Earlobe Using a Combination of the Inverted V-Shaped Excision Technique and Vertical Mattress Suture Method

  • Park, June Kyu (Department of Plastic and Reconstructive Surgery, Myong-Ji Hospital) ;
  • Kim, Kyung Sik (Department of Plastic and Reconstructive Surgery, Myong-Ji Hospital) ;
  • Kim, Seung Hong (Department of Plastic and Reconstructive Surgery, Myong-Ji Hospital) ;
  • Choi, Jun (Department of Plastic and Reconstructive Surgery, Myong-Ji Hospital) ;
  • Yang, Jeong Yeol (Department of Plastic and Reconstructive Surgery, Myong-Ji Hospital)
  • Received : 2017.08.12
  • Accepted : 2017.11.22
  • Published : 2017.12.20

Abstract

Traumatic cleft earlobes are a common problem encountered by plastic and reconstructive surgeons. Various techniques have been reported for the repair of traumatic cleft earlobes. Usually, the techniques of split earlobe repair are divided into two categories, namely straight- and broken-line repairs. Straight-line repair is simple and easy, but scar contracture frequently results in notching of the inferior border of the lobule. It can be avoided by the broken-line repair such as Z-plasty, L-plasty, or a V-shaped flap. Between April 2016 and February 2017, six patients who presented with traumatic cleft earlobe underwent surgical correction using a combination of the inverted V-shaped excision technique and vertical mattress suture method. All the patients were female and had a unilateral complete cleft earlobe. No postoperative notching of the inferior border the lobule occurred during 6-16 months of follow-up. Without the use of a broken-line repair, both the patients and the operators attained aesthetically satisfactory results. Therefore, the combination of the inverted V-shaped excision technique and vertical mattress suture method is considered useful in the treatment of traumatic cleft earlobes.

Keywords

References

  1. Blanco-Davila F, Vasconez HC. The cleft earlobe: a review of methods of treatment. Ann Plast Surg 1994;33:677-80.
  2. Watson D. Repair of the torn earlobe. Facial Plast Surg 2004;20:39-45.
  3. Fatah MF. L-plasty technique in the repair of split ear lobe. Br J Plast Surg 1985;38:410-4.
  4. Vujevich J, Goldberg LH, Obagi S. Repair of partial and complete earlobe clefts: a review of 21 methods. J Drugs Dermatol 2007;6:695-9.
  5. McLAREN LR. Cleft ear lobes: a hazard of wearing ear-rings. Br J Plast Surg 1954;7:162-5.
  6. Boo-Chai K. The cleft ear lobe. Plast Reconstr Surg Transplant Bull 1961;28:681-8.
  7. Pardue AM. Repair of torn earlobe with preservation of the perforation for an earring. Plast Reconstr Surg 1973;51:472-3.
  8. Hamilton R, LaRossa D. Method for repair of cleft earlobes. Plast Reconstr Surg 1975;55:99-101.
  9. Buchan NG. The cleft ear lobe: a method of repair with preservation of the earring canal. Br J Plast Surg 1975;28:296-8.
  10. Argamaso RV. The lap-joint principle in the repair of the cleft earlobe. Br J Plast Surg 1978;31:337-8.
  11. Harahap M. Repair of split earlobes: a review and a new technique. J Dermatol Surg Oncol 1982;8:187-91.
  12. Kalimuthu R, Larson BJ, Lewis N. Earlobe repair: a new technique. Plast Reconstr Surg 1984;74:299-300.
  13. Elsahy NI. Reconstruction of the cleft earlobe with preservation of the perforation for an earring. Plast Reconstr Surg 1986;77:322-4.
  14. Zoltie N. Split earlobes: a method of repair preserving the hole. Plast Reconstr Surg 1987;80:619-21.
  15. Apesos J, Kane M. Treatment of traumatic earlobe clefts. Aesthetic Plast Surg 1993;17:253-5.
  16. Oh DY, Kim SW, Ahn ST, Rhie JW. Correction of earlobe cleft with tongue-in-groove technique. J Craniofac Surg 2011;22:1785-7.
  17. Kang S, Moon SJ, Suh H. Traumatic cleft earlobe repair: using a double triangular flap for differently sized components on either side of the cleft. Aesthetic Plast Surg 2013;37:1163-6.
  18. Niamtu J 3rd. Surgical repair of the cleft earlobe. J Oral Maxillofac Surg 1997;55:886-90.
  19. Fujiwara T, Matsuo K, Taki K, Noguchi M, Kiyono M. Triangular flap repair of the congenital earlobe cleft. Ann Plast Surg 1995;34:402-5.