Cabral Ana Rita, Alonso Neide, Brinca Ana, Vieira Ricardo, Figueiredo Américo
Dermatology Department, Coimbra University Hospital, Coimbra, Portugal.
An Bras Dermatol. 2013 Mar-Apr;88(2):272-5. doi: 10.1590/S0365-05962013000200018.
The earlobe is an anatomical structure that has a significant aesthetic role. Its surgical repair places a challenge due to the difficulty of obtaining a natural appearing and durable outcome. The authors present two options: the Gavello technique and the bilobed flap, after the excision of malign neoplasms of the earlobe. The Gavello technique makes use of a bilobed flap with an anterior base to mold the new earlobe. D'Hooghe's bilobed flap with a pre and post-auricular lobe allows the reconstruction of small earlobes. Both techniques, although old, acquire an important and current interest in earlobe reconstruction, by reason of the moderate degree of difficulty, the use of a single time surgical act and under local anesthesia, with a proper aesthetic result.
耳垂是一种具有重要美学作用的解剖结构。由于难以获得自然外观且持久的效果，其手术修复颇具挑战。作者介绍了两种在切除耳垂恶性肿瘤后的修复方法：加韦洛技术和双叶皮瓣法。加韦洛技术利用一个以耳垂前部为基底的双叶皮瓣来塑造新的耳垂。德霍赫的带有耳前叶和耳后叶的双叶皮瓣可用于重建较小的耳垂。这两种技术虽然古老，但鉴于其难度适中、单次手术操作且在局部麻醉下进行，同时能获得良好的美学效果，在耳垂重建中仍具有重要的现实意义。
