Clinical application and results
Case 1: A 19-year-old woman underwent earlobe reconstruction for congenital absence of left earlobe (Figure 3A) using the technique described above. The postoperative result is shown in Figure 3B.
case 2: A 33-year-old man presented with postburn deformity of his right earlobe (Figure 4A). The deformed and extremely scarred earlobe was excised and a new earlobe reconstructed using the method described (Figure 4B).
case 3: A 40-year-old woman experienced near total amputation of her left earlobe as a result of sharp-cut injury (Figure 5A). Reconstruction by Gavello flap yielded a satisfying result (Figure 5B).
In the present article, we revisited Gavello’s procedure of earlobe reconstruction with an attempt to understand the vascular basis of the procedure, and demonstrated the excellent results that can be achieved with this century-old technique for earlobe defects of diverse etiology. Thus, it can be concluded that such ‘old’, simple flaps are still of great value.
Figure 3) Results of Gavello’s procedure in congenital absence of earlobe. A Preoperative photograph. в Postoperative outcome
figure 4) Results of Gavello’s procedure in postburn earlobe deformity. a Preoperative photograph. В Postoperative outcome
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Figure 5) Results of Gavello’s procedure in traumatic amputation of earlobe. A Preoperative photograph. В Postoperative outcome