title: Modified bilobed flap for one-stage earlobe reconstruction: a case report.
abstract: Many techniques have been described in the literature for the reconstruction of congenital or acquired defects of the earlobe. Most techniques for earlobe reconstruction use adjacent tissue to compose a pedicled or bilobed flap, but usually require a two-stage procedure, or need a skin graft; more rarely reconstructive methods that led to a satisfactory result and a pleasant appearance in one-stage procedure have been described. We describe a personal and geometrical modification of the double-lobed flap according to Gavello's original technique, which allows to shape the anatomical curvature of the earlobe and to reduce the skin retraction without adding any scars or skin graft. In our opinion, the revisited reconstructive technique provides lots of advantages, improves aesthetical results and provides more natural appearance.
authors.affiliation: Plastic Surgery Department, S. Orsola Malpighi University Hospital, Bologna, Italy. Electronic address: valentina.pintomd@gmail.com.
authors.forename: Valentina
authors.initials: V
authors.lastname: Pinto
authors.affiliation: Plastic Surgery Department, S. Orsola Malpighi University Hospital, Bologna, Italy.
authors.forename: Luca
authors.initials: L
authors.lastname: Negosanti
authors.affiliation: ENT Department, S. Orsola Malpighi University Hospital, Bologna, Italy.
authors.forename: Ottavio
authors.initials: O
authors.lastname: Piccin
authors.affiliation: Plastic Surgery Department, S. Orsola Malpighi University Hospital, Bologna, Italy.
authors.forename: Riccardo
authors.initials: R
authors.lastname: Cipriani
authors.affiliation: Plastic Surgery Department, S. Orsola Malpighi University Hospital, Bologna, Italy.
authors.forename: Guido
authors.initials: G
authors.lastname: Zannetti
mesh_terms: D054644:Ear Auricle / Q000601:surgery*; D004426:Ear Deformities, Acquired / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps