Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Graz, Austria.
Department of Otorhinolaryngology-Head and Neck Surgery, Medical University of Graz, Graz, Austria.
Facial Plast Surg Aesthet Med. 2023 Mar-Apr;25(2):83-89. doi: 10.1089/fpsam.2021.0269. Epub 2022 Feb 9.
Surgical reconstruction of the earlobe after gauge ear piercing can be challenging especially in cases of large defects. By performing a systematic review of the current literature, we aimed to identify available surgical approaches for earlobe reconstruction after gauge piercing and provide a surgical classification system with regard to defect size. A literature review was performed including MEDLINE and PubMed databases to identify articles describing reconstruction after stretched earlobe piercing. Articles referring to traumatic, congenital, and acquired cleft deformities were excluded. Surgical techniques were summarized and categorized with regard to different defect sizes. Drawings of each method were performed. A total of 17 different surgical approaches were found and described. Based on the authors' descriptions of each technique, a classification system for small to medium, large, and extralarge defects was established and special benefits of each method were highlighted. A simple classification of available techniques for stretched earlobe reconstruction with regard to defect size might help physicians to choose the appropriate surgical management especially in cases of large defects.
耳饰穿孔后耳垂再造颇具挑战性，尤其是耳垂有较大缺损时。我们通过对现有文献进行系统回顾，旨在确定耳饰穿孔后耳垂再造的可用手术方法，并根据缺损大小提供一种手术分类系统。我们对 MEDLINE 和 PubMed 数据库进行文献回顾，以确定描述扩张耳垂穿孔后修复的文章。排除了涉及创伤性、先天性和获得性裂隙畸形的文章。我们对不同的缺损大小的手术技术进行了总结和分类，并绘制了每种方法的示意图。共发现并描述了 17 种不同的手术方法。根据作者对每种技术的描述，建立了一个从小到中、大到特大缺损的分类系统，并强调了每种方法的特殊优势。根据耳垂缺损的大小对现有的耳垂扩张再造技术进行简单分类，可能有助于医生选择合适的手术治疗方法，尤其是在耳垂有较大缺损时。
