Abstract
The earlobe represents an important element in the aesthetic appearance of the entire ear. Reconstruction of the earlobe is challenging. The authors present a reconstructive option following wide excision of melanoma of the earlobe that facilitates sentinel lymph node biopsy from the neck without further incision. We report satisfactory results obtained using this technique for immediate earlobe reconstruction. We present two cases of malignant melanoma of the earlobe. Both cases were treated with a 1-cm wide local excision of melanoma scar of the ear lobe and reconstruction with double opposing local transposition flaps and sentinel lymph node biopsy (SLNB) of the neck via the skin flap incisions without further need for incision extension. This is a technique for earlobe reconstruction that provides satisfactory results that can be performed in a single stage procedure simultaneously allowing access for sentinel lymph node biopsy from the cervical, pre- and post-auricular lymph node basins. We feel this technique is an option to be considered when treating melanoma of the earlobe requiring SLNB.
Level of Evidence: Level V, therapeutic study.
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Shen W, Cui J, Chen J, Chen H, Zou J, Ji Y (2012) Inversion of the flap at the lower ear and restoration of the flap at postauricular skin for reconstruction of the earlobe. J Craniofacial Surg 23(2):560–562
Emiroglu M, Al-Saedi M (2001) Gavello’s procedure: an old earlobe reconstruction method, revisited and touched up. Aesthetic Plast Surg 25(3):187–188
Goulão J, Alves J (2016) Total earlobe reconstruction with a superiorly based preauricular flap. An Bras Dermatol 91(3):372–374
Sleilati F (2006) Immediate earlobe reconstruction with double-crossed skin flaps. J Plast Reconstr Aesthet Surg 59(9):1003–1005
Ohsumi N, Shimamoto R (1994) Earlobe reconstruction with a reversed-flow chondrocutaneous postauricular flap and a local flap. Plast Reconstr Surg 94(2):364–368
Yotsuyanagi T (1994) Earlobe reconstruction using a chondrocutaneous flap. Plast Reconstr Surg 94(7):1073–1078
Ziccardi VB, Lamphier J (2000) Use of keloid skin as an autograft for earlobe reconstruction after excision. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 89(6):674–675
Quaba A (1988) Reconstruction of a posttraumatic ear defect using tissue expansion: 30 years after Neumann. Plast Reconstr Surg 82(3):521–524
Peach HS, van der Ploeg AP, Haydu LE, Stretch JR, Shannon KF, Uren RF et al (2013) The unpredictability of lymphatic drainage from the ear in melanoma patients, and its implications for management. Ann Surg Oncol 20(5):1707–1713
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Metin Nizamoglu, Charles Loh, Alethea Tan, Mohamed Fahmy Ibrahim, Nabil Mopuri, Naguib El-Muttardi declare that they have no conflict of interest.
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Nizamoglu, M., Loh, C., Tan, A. et al. Modified earlobe reconstruction technique following wide local excision of melanoma that facilitates sentinel lymph node biopsy. Eur J Plast Surg 42, 189–192 (2019). https://doi.org/10.1007/s00238-019-1497-5
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DOI: https://doi.org/10.1007/s00238-019-1497-5