Earlobe‐based advancement flap for helical rim defect: A review of 30 cases

Abstract

AbstractBackgroundVarious techniques have been proposed for helical rim reconstruction, including local flaps, grafts, and prosthetics. The earlobe‐based advancement flap (ELBAF) by Zilinsky, introduced in 2014, has emerged as a simple and effective method for helical rim ear defect reconstruction.ObjectivesThis study aims to evaluate the efficacy and complications of ELBAF in the reconstruction of helical rim defects.MethodsA retrospective single‐centre study was conducted on 30 consecutive cases with helical defects undergoing ELBAF procedures for cancer reconstruction between January 2014 and June 2023. Patient demographics, indications, surgical details, complications, and postoperative outcomes were assessed.ResultsThe study included 30 patients (mean age 79.4 years) with helical defects, mainly due to basal cell carcinoma (n = 13) and squamous cell carcinoma (n = 14). The helical rim defects were distributed in the upper (n = 12), middle (n = 9), and lower (n = 9) thirds. Triangular excisions through the ear lobe were performed in more than 60% of cases. The average defect length was 2.3 cm, and the average surgery time was 25 min. Complications included one case of partial necrosis and three cases of partial dehiscence, with successful corrections in two cases.ConclusionsOur experience with ELBAF in 30 cases demonstrates its reliability for helical rim reconstruction, with a high success rate. The technique, known for its simplicity, provides satisfactory aesthetic outcomes, supporting its consideration as a viable option for helical rim defects.