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Ear Lobule Reconstruction Using Nasal Septal Cartilage

Bastidas, Nicholas M.D.; Jacobs, Jordan M. S. M.D.; Thorne, Charles H. M.D.

Plastic and Reconstructive Surgery: April 2013 - Volume 131 - Issue 4 - p 760–762
doi: 10.1097/PRS.0b013e3182818bf4
Reconstructive: Head and Neck: Ideas and Innovations

Summary: Surgical reconstruction of an earlobe requires adequate support without sacrificing the delicacy necessary for an attractive result. A two-stage ear lobule reconstruction using a mastoid skin pocket and cartilage from the nasal septum was performed in six patients. The earlobe aesthetics were acceptable and allowed ear piercing. There were no major complications, including no loss of flap, graft extrusion, septal perforation, or infection. Range of follow-up was 1 to 6 years, with an average of 3 years. No revisions have been performed. A two-stage technique for ear lobule reconstruction is described using septal cartilage to preserve shape and definition that has the additional advantage of minimal morbidity.

Great Neck and New York, N.Y.

From private practice and New York University, Institute of Reconstructive Plastic Surgery.

Received for publication October 8, 2012; accepted October 10, 2012.

Disclosure: The authors have no financial interest to declare in relation to the content of this article.

Charles Thorne, M.D.; 812 Park Avenue, New York, N.Y. 10021,

©2013American Society of Plastic Surgeons