2. With ear lobe reduction surgery, a small amount of ear cartilage is removed from the lower ear. The procedure is done by marking the earlobe with a geometric … This means there is no hanging skin below the ear and cheek junction so it requires a smaller amount of skin excision. Contraindications. Fresh surgical margins following wedge excision of the earlobe defect. It is useful for patients who are interested in simultaneous repair of a torn earlobe or who have an attached earlobe (meaning that there is no skin hanging below the ear … The surgeon then removes a wedge of soft tissue to reduce the size of the ear lobe. If there is simply extra earlobe tissue, an incision is made along the bottom edge of the earlobe. Elliptical excision. Wedge excision: This involves a vertical incision along the earlobe, leaving a vertical scar that may be more visible. This surgery is a quick, outpatient procedure that provides permanent results. These treatment methods are simple and effective and can be performed in … A large tumor on the helix is excised in a wedge shape, and the … Typically, the wedge technique is performed on patients who have an attached earlobe. That soft tissue is removed and repaired. There is scarring, but the scars usually fade quickly in a matter of months. Simple interrupted sutures are placed on the surgical margins of the earlobe circumferentially. This prevents the ear lobe from sticking out. This is a video which demonstrates a resection of a keloid scar from the ear lobe and reconstruction. The preferred location is the inferior portion of the enlarged earlobe because of the superior vascular supply (Fig. If the lobe is very wide, a wedge-shaped incision may be necessary which creates a thin vertical scar, narrowing and shortening the overall lobe. –Biopsy of external ear is 69100 –Biopsy of Lip is 40490 •All codes include a simple closure 10 Coding Lesion Excision •Skin Tags –11200 up to and including 15 lesions –+11201 each additional 10 lesions •Shaving Lesions –11300 –11313 •Please note size and location determine code selection •This does not require suture closure Wedge resection and closure techniques are appropriate for defects up to one-third of the outer circumference of the ear occurring in the upper two-thirds of the ear… 20.26). Defects on most aspects of the helix can be repaired with a wedge excision (see the image below). Other Procedures Are Available. Each approach has its own advantages and disadvantages. The ear wedge is a useful repair option for excision of tumors on the helix or for a large Mohs defect, encompassing both anterior and posterior skin of the auricle with or without loss of cartilage. Earlobes can be very effectively reduced by a variety of tissue excision techniques.While many types of earlobe reductions have been described, they fundamentally come down to a wedge excision through the body of the earlobe or an elliptical excision oriented across the bottom of the earlobe. Ideally, the inner corner of the wedge is 30° to minimize the formation of a dog ear. The techniques used will depend upon your specific anatomy. The wedge excision may be performed on the medial, lateral, or inferior portion of the enlarged earlobe. The use of hyaluronic acid and fat transfer for restoring ear volume, and wedge excision for earlobe reduction, offer a high level of satisfaction in patients with earlobe ptosis. Figure 3. Earlobe reductions are performed when the size of the lobe becomes droopy, pendulous, or un-proportionate to the face. Wedge excision. The principle behind the wedge closure is the conversion of the defect into a full-thickness (anterior skin, cartilage, posterior skin) triangular wedge. Wedge Reconstruction of Partial Auriculectomy Defects Edward I. Chang Matthew M. Hanasono DEFINITION Partial ear defects can result following trauma or more commonly following resection of cutaneous malignancies.

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