Modified Earlobe Reconstruction Technique Following Wide Local Excision of Melanoma That Facilitates Sentinel Lymph Node Biopsy

The earlobe represents an important element in the aesthetic appearance of the entire ear. Reconstruction of the earlobe is challenging. The authors present a reconstructive option following wide excision of melanoma of the earlobe that facilitates sentinel lymph node biopsy from the neck without further incision. We report satisfactory results obtained using this technique for immediate earlobe reconstruction. We present two cases of malignant melanoma of the earlobe. Both cases were treated with a 1-cm wide local excision of melanoma scar of the ear lobe and reconstruction with double opposing local transposition flaps and sentinel lymph node biopsy (SLNB) of the neck via the skin flap incisions without further need for incision extension. This is a technique for earlobe reconstruction that provides satisfactory results that can be performed in a single stage procedure simultaneously allowing access for sentinel lymph node biopsy from the cervical, pre- and post-auricular lymph node basins. We feel this technique is an option to be considered when treating melanoma of the earlobe requiring SLNB.Level of Evidence: Level V, therapeutic study.