Bhooshan Lekshmi S, Madhavi C
Department of Plastic Surgery, Government Medical College, Kottayam, Kerela, India.
J Cutan Aesthet Surg. 2023 Jul-Sep;16(3):221-226. doi: 10.4103/JCAS.JCAS_40_22.
The aesthetic aspect of Type I incomplete split ear lobe is underestimated. Most of the hole-retaining techniques described for large and split ear lobes are difficult to perform in Type I deformity.
(1) To conduct a pilot study based on the postoperative review of the cases of Type I ear lobe deformities surgically managed with hole-retaining lobeplasty in a tertiary care centre in South India.(2) To assess the postoperative outcome of the hole retaining lobeplasty based on the Global aesthetic improvement scale and Patient satisfaction in Likert scale.
A pilot study of hole-retaining lobeplasty technique was done based on the postoperative review of 6 patients with bilateral type1 incomplete split ear lobes who were operated in our institution with the same. The results were validated based on descriptive statistics and postoperative outcomes using GAIS score and Patient Satisfaction Score measured in a Likert scale.
None of the patients had any postoperative complications. At six months follow up, all patients had centrally placed, circular ear holes, well settled support flap and rounded lobe contour with an average GAIS score of 4.83 ± 0.38. All the patients were satisfied with their newly created ear hole and lobe contour, with an average Patient Satisfaction Score of 4.8 ± 0.4.
Hole- retaining lobeplasty is a simple, cost effective, single staged, day-case procedure for repair of Type I large ear holes, that can be easily duplicated by young plastic surgeons with is aesthetically better, circular and centrally placed ear hole with a more rounded ear lobe with support to prevent recurrence.
I型不完全耳垂裂的美学方面未得到充分重视。大多数针对大耳垂裂和耳垂裂描述的保留孔技术在I型畸形中难以实施。
（1）在印度南部一家三级护理中心，基于对采用保留孔耳垂成形术手术治疗的I型耳垂畸形病例的术后回顾进行一项初步研究。（2）基于全球美学改善量表和李克特量表中的患者满意度，评估保留孔耳垂成形术的术后效果。
基于对在我们机构接受手术的6例双侧I型不完全耳垂裂患者的术后回顾，对保留孔耳垂成形术技术进行了一项初步研究。结果通过描述性统计以及使用GAIS评分和李克特量表测量的患者满意度评分对术后结果进行验证。
所有患者均无术后并发症。在六个月的随访中，所有患者的耳洞均位于中央、呈圆形，支撑皮瓣固定良好，耳垂轮廓圆润，平均GAIS评分为4.83±0.38。所有患者对新形成的耳洞和耳垂轮廓均感到满意，平均患者满意度评分为4.8±0.4。
保留孔耳垂成形术是一种简单、经济有效、单阶段的日间手术，用于修复I型大耳洞，年轻的整形外科医生可以轻松复制，其美学效果更好，耳洞呈圆形且位于中央，耳垂更圆润，有支撑以防止复发。
