Plastic Surgery Thesis Protocol

TITLE:
SPLIT EAR LOBULE – LOBULOPLASTY OUR EXPERIENCE IN 50 CASES WITH

MODIFIED TECHNIQUE OF “V” CUT.
Principal investigator:
Dr. Prabhuleti Pavan Kumar ,
Post-graduate
Department of Plastic & Reconstructive Surgery,
Sri Venkateswara Medical College,
Tirupati
Phone: 8686440076
pavanpes98@gmail.com
Guide:
Dr. Ganji Raveendra Reddy, M.Ch.,
Professor & HOD,
Department of Plastic & Reconstructive Surgery,
Tirupati
PROFORMA FOR DISSERTATION
1. Name of the candidate Dr. Prabhuleti Pavan Kumar

2. Name of the Institution Sri Venkateswara Medical College,
Tirupati
3. Course of study M.Ch. (Plastic & Reconstructive
Surgery)
4. Date of admission to course 19-02-2024
5. Title of the topic Split Ear Lobule – Lobuloplasty our
Experience in 30 cases with Modified
technique of “V” cut
6. Signature of the candidate
7. Name and signature of guide

Professor & HOD,
Department of Plastic & Reconstructive
Surgery,
Tirupati
8. Name and signature of HOD

Professor & HOD,
Department of Plastic & Reconstructive
Surgery,
Tirupati
9 BRIEF REVIEW
OF INTENDED
WORK
9.1
INTRODUCTION . The auricular lobule has an important place in face
and ear aesthetics. Elongated ear lobe and torn earlobe
usually results from sudden stretch or continuous use of
heavy earrings. Thus results in dropping of ear ring/studs
and womens has to wear extra rubbler / washer to hold
the stud in position, often demand for correction
Auricular lobuloplasty is one of the commonly done
day care surgical procedure. Though surgery seems
simple and lobule is small, its impact on the individual is
very high., due to various reasons, ear lobule gets
strecthed , elongated and give way thus seek medical
advice and undergo surgical procedures to regain near
normal structure of lobule.
Addressing the stretched ear lobule by surgery is

variable from simple srtaight line repair to complex repair
with cartilage grafts.here , we are describing a method
whereit overcoming the short comings of both simple and
complex procedures with minimal recurrence.
9.2 AIMS AND The present study aimed to assess the results of
OBJECTIVES lobuloplasty by breaking the straight line scar with “>”/ “<”
cut at the lower surface of ear lobule.
Objectives:
 To assess the outcomes of “>”/ “<” CUT ear
lobuloplasty..
 To assess the behavior of wound contracture
 To assess the patient satisfaction and recurrence.
9.3 SAMPLE All the cases attending the plastic surgery department
SIZE: with enlarged ear piericed defect and or split ear lobule
defect from February 2024 to February 2026
9.4 PLACE OF Department of Plastic and Reconstructive Surgery,

STUDY: SVRRGGH, Tirupati
9.5 DURATION 2.5 years (February 2024 to February 2026)

OF STUDY:
9.6 INCLUSION 1. Patients who have consented for the study.

CRITERIA: 2. Female Patients of all ages irrespective of etiology
9.7 EXCLUSION Patients with conditions affecting wound healing like

CRITERIA: connective tissue disorders.
9.8 TYPE OF Prospective observational study

STUDY:
9.9 STUDY This is a prospective, observational, hospital-based study

DESIGN: conducted from February 2024 to February 2026. The
patients satisfying the inclusion and exclusion criteria will
be taken into the study. Informed and written consent will
be taken. The study abides by the guidelines laid by the
declaration of Helsinki.
Technique:
Under local anaesthesia patient in supine position with
head turned to opposite side the edges of split ear
margins prepared both on anterior and posterior side .
the inferior surface is prepared with “<”/ “>” cut ratter in
straight line. after incision and dissected margins
approminated with 5-0 prolene .hemostasis ensured
throught out the procedure. Photographs taken before
proper markings and after completion of the procedure.
.
9.10 Data will be collected in excel sheets and statistical
STATISTICAL analysis will be done using Microsoft excel 2019.
ANALYSIS Categorical data will be represented as frequencies and
continuous data will be represented in the form of
intervals. Other statistical tests will be employed
wherever required.
9.11 REVIEW OF The use of ear ornaments by both sexes is an ancient
LITERATURE practice in cultures worldwide. Surgical treatment of torn
earlobes (TEL) resulting from ear piercing has been
described from Babylon and Persia, through ancient India
(100 BC to 100 AD), to Victorian England. Stretched
earlobe resulting from TEL closure was termed
kákusthapáli by Sushruta Samnhita over two millennia
ago (606 BC). Body modification is a universal art form
that has been practiced for thousands of years and can
be defined as temporary or permanent alteration of parts
of the human body, which includes procedures such as
tattooing or body piercing. It is done for motivations such
as religious or mystical affiliations, shock value, sexual
enhancement, aesthetic reasons, denoting affiliation,
trust, loyalty and self-expression. There are many more
techniques described by various surgeons , the following
are few surgical techniques,
1.Simple stitches:
2.Purse string:
3.Double opposing Z-plasty (Method by Grohmann)
4.Multiple wedge excisions
5.Reconstruction with L-plasty
6.Reconstruction with a bilobed flap design Single
wedge excision of excess earlobe tissue
7.Reconstruction by Bastazini
8.Reconstruction by Williams
9.Reconstruction by Arasaratnam
REFERENCES 1.auricular lobuloplasty- an aesthetic day care

surgical procedure naveen kumar mallineni1,
2.davis j. aesthetic and reconstructive otoplasty.

berlin: springer; 1997.
3.cabral ar, alonso n, brinca a, vieira r, figueiredo a. earlobe

reconstruction by the gavello technique and bilobed flap. an bras
dermatol. 2013 mar-apr;88(2):272-275.
4.smith c, glaser da. surgical pearl: repair of split or deformed ear

lobe with a tongue depressor blade for stabilization during
surgery. j am acad dermatol. 1998 jun;38(6 pt 1):990–1.
5. bastazini i, bastazini i, de melo mcc, peres cs, da silva biscarde

ef. surgical pearl: dermabrasion for the correction of incomplete
cleft earlobe. j am acad dermatol. 2005 apr;52(4):688–9.
6. niamtu j. eleven pearls for cosmetic earlobe repair. dermatol

surg off publ am soc dermatol surg al. 2002 feb;28(2):180–5.
7. benvenuti h, benvenuti d. repair of massive earlobe piercing

and plugs (gauging). plast reconstr surg glob open. 2014
oct;2(10):e225.
8. tan ec. punch technique: an alternative approach to the repair

of pierced earlobe deformities. J Dermatol Surg Oncol.
1989 Mar;15(3):270–2.
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TITLE:

SPLIT EAR LOBULE – LOBULOPLASTY OUR EXPERIENCE IN 50 CASES WITH

Dr. Prabhuleti Pavan Kumar ,

Department of Plastic & Reconstructive Surgery,

Sri Venkateswara Medical College,

Dr. Ganji Raveendra Reddy, M.Ch.,

Professor & HOD,

Department of Plastic & Reconstructive Surgery,

Sri Venkateswara Medical College,

1. Name of the candidate Dr. Prabhuleti Pavan Kumar

Dr. Ganji Raveendra Reddy, M.Ch.,

8. Name and signature of HOD

Dr. Ganji Raveendra Reddy, M.Ch.,

Addressing the stretched ear lobule by surgery is

9.4 PLACE OF Department of Plastic and Reconstructive Surgery,

9.5 DURATION 2.5 years (February 2024 to February 2026)

9.6 INCLUSION 1. Patients who have consented for the study.

9.7 EXCLUSION Patients with conditions affecting wound healing like

9.8 TYPE OF Prospective observational study

9.9 STUDY This is a prospective, observational, hospital-based study

REFERENCES 1.auricular lobuloplasty- an aesthetic day care

2.davis j. aesthetic and reconstructive otoplasty.

3.cabral ar, alonso n, brinca a, vieira r, figueiredo a. earlobe

4.smith c, glaser da. surgical pearl: repair of split or deformed ear

5. bastazini i, bastazini i, de melo mcc, peres cs, da silva biscarde

6. niamtu j. eleven pearls for cosmetic earlobe repair. dermatol

7. benvenuti h, benvenuti d. repair of massive earlobe piercing

8. tan ec. punch technique: an alternative approach to the repair

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