Zeiderman Matthew R, Kelishadi Shahrooz Sean, Tutela John Paul, Chowdry Saeed, Wilhelmi Bradon J
Division of Plastic and Reconstructive Surgery, University of Louisville School of Medicine, Louisville, Ky.
Eplasty. 2014 Sep 5;14:e31. eCollection 2014.
The repair of dilated ear lobules after gauge ear piercing is increasingly performed to restore the natural ear appearance and shape for esthetic, professional, or social reasons. Because of a deficit of remaining lobule tissue, reconstruction of this area can be challenging. Many have described the repair of partial cleft ear lobule defects, but few focus on the repair of dilated ear lobules. The authors review the methods of repair described in the literature and propose a new technique.
A double opposing perpendicular linear closure was used to repair dilated ear lobules. A linear closure is made on the anterior aspect of the circular lobular defect followed by a linear closure on the posterior aspect oriented 90 degrees to that of the anterior surface.
This method produces an esthetically pleasing result with a rounded, natural appearance. Perpendicular repair lines prevent the dog-ear deformity that may be noticed on the lobule with a single linear closure. Preserving the outer remnant of ear lobule prevents notching seen when this area is violated.
Several different techniques have been described for repair of the dilated ear lobule that has been deformed by gauge ear piercing. We describe a new method that is simple to perform and successful in restoring the dilated ear lobule.
出于美学、职业或社交原因，越来越多地进行耳洞穿刺后耳垂扩张的修复，以恢复耳朵的自然外观和形状。由于剩余耳垂组织不足，该区域的重建可能具有挑战性。许多人描述了部分耳垂裂缺损的修复，但很少有人关注耳垂扩张的修复。作者回顾了文献中描述的修复方法并提出了一种新技术。
采用双相对垂直线性闭合术修复扩张的耳垂。在圆形耳垂缺损的前侧进行线性闭合，然后在与前表面成90度角的后侧进行线性闭合。
该方法产生了美观的效果，外观圆润自然。垂直的修复线可防止单一线性闭合时在耳垂上可能出现的“狗耳”畸形。保留耳垂的外部残余部分可防止在该区域受损时出现切迹。
已经描述了几种不同的技术用于修复因耳洞穿刺而变形的扩张耳垂。我们描述了一种新的方法，该方法操作简单，成功地修复了扩张的耳垂。
