Earlobe Reconstruction in Two Stages

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Analogous to a total auricular reconstruction (see Fig. 10.31), the first stage consists of developing a pocket and inserting a cartilage graft. In a second

Total Auricular Reconstruction

Fig. 10.21 Reconstruction of the lower auricle by the technique of Brent (1976, modified). a Outline of a large, anteriorly based, bilobed Gavello flap. b The flap is raised, and a cartilage framework is sutured into place. c The framework is covered with the flap, and all defects are closed.

Fig. 10.20 Reconstruction of the earlobe by the technique of Gavello.

a An anteriorly based, bilobed flap is prepared below the auricular defect. We recommend using a pattern made of aluminum foil (e.g., from a suture package). b The posterior flap (2,

Fig. 10.20a) is folded behind the anterior one (1). c The wounds are closed. (The inferior skin is mobilized to place the scar behind the auricle.)

Fig. 10.21 Reconstruction of the lower auricle by the technique of Brent (1976, modified). a Outline of a large, anteriorly based, bilobed Gavello flap. b The flap is raised, and a cartilage framework is sutured into place. c The framework is covered with the flap, and all defects are closed.

Fig. 10.22 Weerda's modification of the Gavello technique with reconstruction of the lower helix.

a Outline of the flap. b The flap is inset around a cartilage framework carved from the concha or a rib (3 mm smaller). c The reconstruction is completed.

Fig. 10.23 Earlobe reconstruction by the technique of Alanis (1970).

a The defect is freshened, and a bilobed flap is cut to form the anterior side (1) and posterior side (2) of the proposed earlobe. The anterior flap (1) is slightly larger than the second flap. b Flap 1 is sutured into place, and flap 2 is folded under to cover the posterior side. c All defects are closed (a minor disadvantage is the visible scar below the earlobe). K = cartilage support

Fig. 10.24 Cleft earlobe caused by an earring avulsion. a A thin flap is cut from one side of the cleft, and the wound edges are freshened. b, c The epithelial flap is rolled inward to create a new channel for earring use.

Gavello Flap

Fig. 10.22 Weerda's modification of the Gavello technique with reconstruction of the lower helix.

a Outline of the flap. b The flap is inset around a cartilage framework carved from the concha or a rib (3 mm smaller). c The reconstruction is completed.

stage the auricle is raised from its bed, and the postauricular area and defect are grafted with full-thickness or split-thickness skin (see Figs. 10.15,10.17 and 10.19).

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How To Reduce Acne Scarring

How To Reduce Acne Scarring

Acne is a name that is famous in its own right, but for all of the wrong reasons. Most teenagers know, and dread, the very word, as it so prevalently wrecks havoc on their faces throughout their adolescent years.

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