Two-flap earlobe rotation for extensive mid-helix defect: a case report of a new modification to an existing technique.

J Surg Case Rep

Dermatology, Faculty of Medicine, National Autonomous University of Mexico, Escolar 411A, Copilco Universidad, Coyoacan, 04360, Mexico City, Mexico.

Published: December 2024

Reconstructing ear defects in very elderly patients is challenging, but one-step procedures are beneficial due to reduced morbidity and fewer hospital visits while maintaining ear size, shape, and symmetry. In 2018, Jaber . introduced a 90° earlobe rotation technique to repair full-thickness auricular defects while preserving the earlobe. We present a modified approach, dividing the earlobe into two flaps for better mobility, rotating them to cover a mid-helix defect in a 93-year-old patient. This is especially useful for older patients with large earlobes, who are prone to skin cancers like keratinocyte cancer. The cosmetic result is satisfactory, with minor asymmetries rarely an issue. This technique provides a practical, single-step solution for functional and esthetic reconstruction in elderly patients.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11635825PMC
http://dx.doi.org/10.1093/jscr/rjae790DOI Listing

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