Incomplete ear lobe cleft repair with 100% trichloroacetic acid

Kumaresan Muthuvel, Shanmuga Sekar, Deepa M. S.


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.


Earlobe, Cleft repair, TCA

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Patrocı´nio LG, Morais RM, Pereira JE, Patrocínio JA. Earlobe cleft reconstructive surgery. Braz J Otorhinolaryngol. 2006;72:447–51.

Sinha M. Techniques for correction of acquired or congenital earlobe repair. J Plast Reconstr Aesthet Surg. 2006;59:1009–10.

de Mendonça MC, de Oliveira AR, Araújo JM, Silva MG, Gamonal A. Nonsurgical technique for incomplete earlobe cleft repair. Dermatol Surg. 2009;35:446-50.

Vujevich J, Goldberg LH, Obagi S. Repair of partial and complete earlobe clefts: a review of 21 methods. J Drugs Dermatol. 2007;6:695-9.

Niamtu J. Eleven pearls for cosmetic ear lobe repair Dermatol Surg. 2002;28:180-5.