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Use of a Conchal Bowl Flap for Repair of the Earlobe
Nancy J. Samolitis, MD;
Scott R. Florell, MD;
Steven R. Mobley, MD;
Glen M. Bowen, MD
From the Departments of Dermatology and Otolaryngology, University of Utah, Salt Lake City.
Arch Dermatol. 2005;141:947-949.
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REPORT OF A CASE
A 69-year-old man presented with loose, pendulous skin affecting his earlobe that had been treated 2 years earlier with a wedge excision for squamous cell carcinoma in situ. Histological examination of this tissue revealed no residual carcinoma but demonstrated fragmented elastic fibers indicating postoperative acquired cutis laxa. The affected tissue was excised with an incision extending down the angle of the jaw, and the remaining earlobe was secured to the lateral cheek. Standing cones were repaired in the preauricular space by M-plasty flaps. The patient was left with minimal residual earlobe tissue as a result of this procedure (Figure 1).
Figure appears in full text version.
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Figure 1. Tethered earlobe 4 months after the excision of elastolytic tissue.
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THERAPEUTIC CHALLENGE
Reconstruction of the earlobe is a challenging procedure that is frequently necessary following excisions, Mohs surgery, or traumatic injury. Producing . . . [Full Text of this Article]
SOLUTION
COMMENT
AUTHOR INFORMATION
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