Efficient closure of earlobe cleft with biopsy punch

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Date: Sept. 2018
From: Ear, Nose and Throat Journal(Vol. 97, Issue 9)
Publisher: Sage Publications, Inc.
Document Type: Report
Length: 733 words
Lexile Measure: 1640L

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Several techniques for ear lobule reconstruction after ear piercing or ear gauging have been described in the literature. Modified Z-plasty maneuvers, linear reconstruction, tissue rearrangement, and other procedures have been used to repair a complete or partial cleft of the ear lobule. (1-6) Furthermore, use of a biopsy punch with a guidewire or a modified needle base to excise the epithelial tract have been described. (7,8) However, previously described punch biopsy techniques can be imprecise, leading to improper or incomplete excision of the tract or conversely leading to tangential excision of more epithelium than is required.

We describe using a precisely sized biopsy punch with the base of a scalpel to more uniformly excise the earlobe cleft in a quick, efficient manner (figure). The firm scalpel handle provides a broad base with tactile feedback in determining how much pressure needs to be applied with the punch biopsy to uniformly excise the epithelial tract, while simultaneously stabilizing the earlobe soft tissue. After excision, the circular wound can be closed primarily with a good cosmetic result.

Based on the diameter of the ear cleft, the...

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Gale Document Number: GALE|A558921693