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Fearon Jeffrey M.D.; Cuadros, C Luis M.D.
Annals of Plastic Surgery: March 1990
Original Articles: PDF Only

This is a retrospective study of 9 patients who underwent a total of 11 repairs for cleft earlobe. Two repairs were performed using the simple technique, and 9 were repaired using the L-plasty technique.

The mean follow-up was 5.5 months (range, 2–18 months). Both of the simple repairs were judged to have moderate notching along the inferior lobular border, and 1 of the 9 L-plasty repairs was judged to have a slight notching. There were no complications.

We believe that the L-plasty technique offers a better cosmetic result in the repair of the cleft earlobe. This technique breaks the vertical component of scar contracture, resulting in a smooth lobular border. In addition, a variation on this technique allows for a simultaneous reduction of the lobule when indicated.

© Williams & Wilkins 1990. All Rights Reserved.