Incomplete ear lobe cleft repair with 100% trichloroacetic acid

Kumaresan Muthuvel; Shanmuga Sekar; Deepa M. S.

doi:10.18203/issn.2455-4529.IntJResDermatol20163981

Authors

Kumaresan Muthuvel Department of Dermatology, PSG hospitals, Coimbatore, India
Shanmuga Sekar Department of Dermatology, PSG hospitals, Coimbatore, India
Deepa M. S. Department of Dermatology, Cutis Skin Clinic & Cosmetology Center, R. S. Puram, Coimbatore, India

DOI:

https://doi.org/10.18203/issn.2455-4529.IntJResDermatol20163981

Keywords:

Earlobe, Cleft repair, TCA

Abstract

Background: The aim of the present study was to assess the efficacy of 100% trichloroacetic acid (TCA) for the incomplete ear lobe cleft repair.

Methods: A total of 30 females with bilateral incomplete ear lobe cleft were included in the study group. Under local anaesthesia, 100% TCA was applied to the abraded surface with the help of toothpick till frosting was achieved and the wound was closed with a micropore tape. Patients were reviewed weekly and 100% TCA was applied until frosting was achieved, without abrasion on the edges of cleft once a week till complete closure of the ear lobe cleft.

Results: Out of 30 patients 28 (93.33 %) had complete closure of cleft. Two patients (6.66%) had incomplete closure even after four application of TCA. Temporary post inflammatory pigmentation was seen in 22 (73.33%) patients which subsided one week after the last TCA application. Minimum number of sittings required was one and maximum required for complete closure was 3 sessions.

Conclusions: Multiple applications, temporary post inflammatory pigmentation, inward rolling of edges, mild scarring as a result of secondary healing of the wound and failure to repair the bigger clefts were the disadvantages of this technique.

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Author Biographies

Kumaresan Muthuvel, Department of Dermatology, PSG hospitals, Coimbatore, India

Professor dept of dermatolgy

Shanmuga Sekar, Department of Dermatology, PSG hospitals, Coimbatore, India

Professor,Dept of Dermatology

Deepa M. S., Department of Dermatology, Cutis Skin Clinic & Cosmetology Center, R. S. Puram, Coimbatore, India

Consultant dermatologist

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