A long-term review of Z-plasty technique for repair of split earlobes

A long-term review of Z-plasty technique for repair of split earlobes Split earlobe injuries are relatively common in individuals with pierced ears. Complete lobe clefts occur from either sudden pull injuries or from chronic traction. A variety of techniques exist for the plastic surgeon to reconstruct this area. In surgical repair, maintenance of lobule contour and prevention of notching are of the highest importance. The objective of this study is to present the technique, results, and outcomes of our split earlobe patients. A 10-year retrospective review of one surgeon’s (I.T.J) split earlobe cases was performed. Repairs involved resection of the edges of the split area followed by a Z-plasty at the edge of the lobe. We perform a complete closure without preservation of the original piercing hole. Re-piercing is performed after at least a month. Forty-three patients were included, and eight had bilateral involvement. Average follow-up of the patients was around 4 months. A variety of etiologies were responsible for the split. One patient developed hematoma and infection which was resolved with antibiotics. Another patient developed notching and required revision surgery. The other 41 patients in our study were noted to have satisfactory form and function after surgery—meaning a well-rounded and well-contoured lobe without notching. No patient had recurrence of the notching. For complete split earlobe injuries, a full-thickness excision is advised and closure is achieved by a Z-plasty. Secondary re-piercing is performed. We have had no recurrences, the rate of revision is very low, and all who save one patient (97%) were satisfied with the result. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

A long-term review of Z-plasty technique for repair of split earlobes

Loading next page...
Copyright © 2010 by Springer-Verlag
Medicine & Public Health; Plastic Surgery
Publisher site
See Article on Publisher Site


  • Maintaining the piercing hole in repair of the split earlobe
    Powell, HR; Choa, DI

You’re reading a free preview. Subscribe to read the entire article.

DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Unlimited reading

Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.

Stay up to date

Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.

Organize your research

It’s easy to organize your research with our built-in tools.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

Monthly Plan

  • Read unlimited articles
  • Personalized recommendations
  • No expiration
  • Print 20 pages per month
  • 20% off on PDF purchases
  • Organize your research
  • Get updates on your journals and topic searches


Start Free Trial

14-day Free Trial

Best Deal — 39% off

Annual Plan

  • All the features of the Professional Plan, but for 39% off!
  • Billed annually
  • No expiration
  • For the normal price of 10 articles elsewhere, you get one full year of unlimited access to articles.



billed annually
Start Free Trial

14-day Free Trial