Earlobe reconstruction using a Limberg flap in six ears

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Presentation transcript:

Earlobe reconstruction using a Limberg flap in six ears A. Singh, G. Singh British Journal of Plastic Surgery Volume 56, Issue 1, Pages 33-36 (January 2003) DOI: 10.1016/S0007-1226(03)00002-X

Figure 1 The earlobe defect (abd) and its unfolded posterior—medial layer (bdc). Also shown is the Limberg flap (ad'ef). British Journal of Plastic Surgery 2003 56, 33-36DOI: (10.1016/S0007-1226(03)00002-X)

Figure 2 The donor defect has been closed and the Limberg flap transposed. The edge ad' is sutured to the auricular edge ab. The shaded portion of the flap (d'ef) will form the medial—posterior layer. British Journal of Plastic Surgery 2003 56, 33-36DOI: (10.1016/S0007-1226(03)00002-X)

Figure 3 The shaded portion d'ef has been folded behind ad'f. Point e comes to lie behind point a. British Journal of Plastic Surgery 2003 56, 33-36DOI: (10.1016/S0007-1226(03)00002-X)

Figure 4 (A) Preoperative view of a patient who had suffered the traumatic loss of an earlobe. (B) The Limberg flap and the inferior edge of the ear have been incised. (C) The donor defect has been closed. The Limberg flap is transposed and ready to be sutured to the incised edge of the ear. The coloured distal portion of the flap will be folded behind the unshaded proximal portion. (D) Immediate postoperative result. British Journal of Plastic Surgery 2003 56, 33-36DOI: (10.1016/S0007-1226(03)00002-X)

Figure 4 (A) Preoperative view of a patient who had suffered the traumatic loss of an earlobe. (B) The Limberg flap and the inferior edge of the ear have been incised. (C) The donor defect has been closed. The Limberg flap is transposed and ready to be sutured to the incised edge of the ear. The coloured distal portion of the flap will be folded behind the unshaded proximal portion. (D) Immediate postoperative result. British Journal of Plastic Surgery 2003 56, 33-36DOI: (10.1016/S0007-1226(03)00002-X)

Figure 5 Patient with congenital absence of the earlobe; (A) preoperative view and (B) postoperative result. British Journal of Plastic Surgery 2003 56, 33-36DOI: (10.1016/S0007-1226(03)00002-X)