From the Department of Plastic Surgery, Children's National Hospital.
Ann Plast Surg. 2021 Sep 1;87(3):278-282. doi: 10.1097/SAP.0000000000002610.
Split earlobe deformity typically results from earring-related trauma or, less commonly, from congenital malformation. Several surgical approaches to repair the earlobe have been described, with the goals of reconstructing normal contour of the earlobe, avoiding notching of the free margin, and minimizing scar visibility.
The authors reviewed 26 consecutive patients who underwent earlobe reconstruction using the senior author's novel technique, which involves anterior straight-line closure paired with a posterior Z-plasty. Baseline demographic characteristics, etiology of split earlobe, follow-up, outcomes, and rate of complications were analyzed.
The median age at surgical repair was 8.04 (interquartile range, 4.53-12.84) years. Most patients had acquired split earlobe deformity secondary to trauma. Median follow-up was 86.5 (interquartile range, 29-385.5) days. Only 4 patients had less than satisfactory results, 3 having residual contour abnormality and 1 noting earlobe asymmetry. None of these patients desired revision. No keloid formation, dehiscence, or other postoperative complications were reported.
The authors describe a novel and effective surgical technique that successfully reconstructs split earlobe deformity. This technique minimizes visible scarring with an anterior straight-line repair combined with posterior Z-plasty to avoid notching.
耳垂裂通常是由耳环相关创伤引起的，较少见的情况下也可能由先天性畸形引起。已经描述了几种修复耳垂的手术方法，目标是重建耳垂的正常轮廓，避免游离缘的切迹，尽量减少疤痕的可见度。
作者回顾了 26 例连续接受耳垂重建手术的患者，这些患者均采用了资深作者的新方法，该方法涉及前直线闭合术联合后 Z 成形术。分析了基线人口统计学特征、耳垂裂的病因、随访、结果和并发症发生率。
手术修复的中位年龄为 8.04 岁（四分位距，4.53-12.84 岁）。大多数患者因创伤而出现获得性耳垂裂。中位随访时间为 86.5 天（四分位距，29-385.5 天）。仅有 4 名患者的结果不尽如人意，3 名患者存在残留轮廓异常，1 名患者注意到耳垂不对称。这些患者均未要求再次手术。无瘢痕疙瘩形成、裂开或其他术后并发症。
作者描述了一种新颖而有效的手术技术，成功地重建了耳垂裂。该技术通过前直线修复术联合后 Z 成形术，最大限度地减少了可见的疤痕，避免了切迹。
