Modified Conchal Cartilage Sandwich Graft Method for Repair of Split Ear Lobe

Aim

Split ear lobe repair is one of the commonest request in cosmetic facial surgery. Frequently, the ear lobe split is prone to recurrence following surgical repair. A new technique is described which strengthens the ear lobe tissues using locally available conchal cartilage to prevent recurrence.

Materials and Methods

48 women in age range from 18 to 62 years with varying grades of split earlobe were operated using the technique of conchal cartilage reinforcement of earlobe. Twenty eight females had bilateral involvement and the remaining had unilateral tear. 25 women had a previous failed repair with earlobe scarring. A conchal cartilage disc was harvested at time of repair of earlobe. This disc was placed in a pocket created in the earlobe over which the earlobe was repaired. The conchal disc was modified by creating a hole of 5 mm diameter for placing the new hole. Simultaneous reperforation of the earlobe was done throught this new hole and stud earring was applied.

Results

Satisfactory aesthetic and functional results have been obtained in the series using the technique of conchal cartilage graft augmentation of the ear lobe in the last five years of use of this technique. All patients had high degree of satisfaction as being able to come out of the operating room with earrings on. There has been no stretching or retear of the earlobe following implantation of the conchal cartilage over a follow-up period of 4 years.

Conclusions

The conchal cartilage graft sandwich procedure allows immediate reperforation of the repaired earlobe at the time of repair in a central aesthetic location along with providing necessary strength to the earlobe thus preventing recurrence in primary and recurrent acquired split earlobe deformity.

 

References

 

1. Agarwal, R, and Chandra, R. A new technique for repair of acquired split-ear-lobe deformity: the free conchal cartilage sandwich graft. J Plast Recon Aesth Surg. 2010; 63, 499-505.
2. Agarwal R & Chandra R. Repair of Split Earlobe with Free Conchal Cartilage Sandwich Graft. In “Advanced Cosmetic Otoplasty” by Shiffman, M. Published by Springer-Verlag Berlin Heidelberg, Chap 45, pp 481-491, 2013.