title: A new technique for repair of acquired split-ear-lobe deformity: the free conchal cartilage sandwich graft.
abstract: BACKGROUND
  Split-ear-lobe repair is one of the commonest requests in cosmetic facial surgery. Frequently, the ear lobe split is prone to recurrence following surgical repair. A new technique is described that strengthens the ear lobe tissues using locally available conchal cartilage to prevent recurrence. A new classification of split ear lobe is also presented.
  
  
  METHODS
  Twenty-two women in the age range from 18 to 62 years with varying grades of split ear lobe were operated using the technique of conchal cartilage reinforcement of ear lobe. Eight females had bilateral involvement, and a total of 30 split ear lobes were repaired. A conchal cartilage disc was harvested at the time of repair of the ear lobe. This disc was placed in a pocket created in the ear lobe, and the ear lobe was repaired over this pocket. Simultaneous re-perforation of the ear lobe was done in a central location through the implanted conchal disc, 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. All patients had high degree of satisfaction in being able to come out of the operating room with earrings on. There has been no stretching or re-tear of the ear lobe following implantation of conchal cartilage, over a follow-up period of 36 months.
  
  
  CONCLUSIONS
  The conchal cartilage-graft sandwich procedure allows immediate re-perforation of the repaired ear lobe at the time of repair in a central aesthetic location, as well as providing necessary strength to the ear lobe; thus preventing recurrence in primary and recurrent, acquired split-ear-lobe deformity.
authors.affiliation: Department of Plastic Surgery, C.S.M Medical University, Lucknow, India. drrajivagarwal@rediffmail.com
authors.forename: Rajiv
authors.initials: R
authors.lastname: Agarwal
authors.forename: Ramesh
authors.initials: R
authors.lastname: Chandra
mesh_terms: D000293:Adolescent; D000328:Adult; D046288:Body Piercing / Q000009:adverse effects*; D004425:Ear Cartilage / Q000637:transplantation*; D004426:Ear Deformities, Acquired / Q000209:etiology / Q000601:surgery*; D004431:Ear, External / Q000293:injuries* / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods; D012086:Reoperation; D055815:Young Adult