Single Stage Ear Lobule Reconstruction with Hemifacial Multiple Z Plasty – A Unique Case

Abstract

This case report aims to present a combined technique of Z-plasty with ear lobule reconstruction in a rare case of hemifacial full-thickness contused lacerated wound (CLW) with ear lobule defect. This case was planned for a two-stage surgery. In the first stage, primary closure was done with the preservation of the facial nerve. In the second stage of surgery, multiple Z-plasty along with ear lobule reconstruction was carried out. Multiple Z-plasty provides a greater degree of flap mobilisation for ear lobule reconstruction. A single flap was used in the rollback method to create an ear lobule. The technique used was contrary to Gavello's technique. Positive results were obtained. Post-surgically, no active intervention was required. The ear lobule flap was completely accepted by the recipient site and a natural-looking ear lobule was formed.