title: A Novel Method for Correction of the Hypoplastic Pixie Earlobe Deformity: V-Y Advancement Flap and Dermofat Graft.
abstract: Pixie ear deformity is a condition in which the inferior edge of the helix of the ear is attached to the cheek without a convolutional notch at the ear lobule-cheek junction. Numerous surgical techniques have been proposed to correct pixie earlobe deformities. However, several of these techniques result in anterior or inferior scars of the ear lobules or dog-ear deformities. Such visible scarring detracts from the esthetics of the ear lobule.We report a novel method for the correction of pixie ear deformities in patients with small ear lobules. A hypoplastic ear lobule was expanded by a V-Y advancement flap designed on the posterior aspect of the ear lobule, and a dermofat graft was placed in the subcutaneous layer under the advanced flap. As a result, the pixie ear lobe deformity was camouflaged by the expanded ear lobule. Moreover, no scars appeared on the anterior or inferior sides of the ear lobule, and a natural appearance of the ear lobe was achieved.We conclude that this method is a feasible alternative surgical option for hypoplastic pixie ear lobe deformities to avoid visible scarring in the anterior or inferior aspects of the ear lobe.
authors.affiliation: From the *BONA Microtia and Aesthetic Ear Surgery Clinic, Seoul; and †Department of Plastic and Reconstructive Surgery, Bundang CHA Medical Center, CHA University, Seongnam, South Korea.
authors.forename: Young Soo
authors.initials: YS
authors.lastname: Kim
authors.forename: Dong Bee
authors.initials: DB
authors.lastname: Kook
authors.forename: Euna
authors.initials: E
authors.lastname: Hwang
mesh_terms: D000328:Adult; D003357:Cosmetic Techniques; D054644:Ear Auricle / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D013524:Surgical Flaps