Prograde Transposition for Anteriorly Low-Set Earlobe in Lobule-Type Microtia Reconstruction

Background Being a common procedure in auricle reconstruction, lobule transposition has been successfully conducted over the past few decades. However, there is still a demanding challenge for addressing transposition methods for unilateral microtia with obvious asymmetry of bilateral earlobe positions. The objective of this study is to investigate the application of prograde transposition for the anteriorly low-set earlobes. Method A total of 25 lobule-type microtia patients with anteriorly low-set residual earlobe underwent prograde transposition during auricle reconstruction between 2020 and 2022. The postoperative earlobe aesthetic assessment and patient satisfaction were evaluated, while data on any complications that occurred when followed-up were collected. The article provides a comprehensive analysis and summary of the techniques utilized in earlobe transposition for auricular reconstruction. Results The patients with obvious asymmetry between residual and healthy earlobe were usually concomitant with hemifacial microsomia and the residual ear was located in the anterior and lower region. No instances of flap necrosis, hematoma, or wound dehiscence were observed following auricular reconstruction. The mean aesthetic score of the auricle was 3.52, with 23 patients attaining good or excellent aesthetic outcomes. The mean VAS satisfaction score was 3.68, with 24 patients reporting relative satisfaction or satisfaction. Conclusion The prograde transposition of anteriorly low-set earlobe in lobule-type microtia reconstruction can effectively ensure adequate blood supply, enhance the aesthetic appearance, and significantly improve patient satisfaction.