Earlobe Surgery



Fig. 16.1
Gripping the ear while injecting results in injury



Solution 1

Apply countertraction to the ear with forceps (Fig. 16.2).


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Fig. 16.2
Proper stabilization of the earlobe with forceps while injecting


Solution 2

Apply countertraction to the ear with a chalazion clamp (Fig. 16.3).


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Fig. 16.3
Use of a chalazion clamp to stabilize the earlobe while injecting avoids injury, provides a bloodless surgical field, and allows for intraoperative manipulation of the earlobe


Solution 3

Place a full-thickness suture through an anesthetized ear lobule and cut off the suture needle. Pull the ear lobule in any direction using the two strings secured with a needle driver (Fig. 16.4).


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Fig. 16.4
A suture placed through the lobule allows for manipulation of the ear at a distance from the surgical field


Accidents Happen When

The ear is stabilized with bare hands when using the scalpel to de-epithelialize, excise, or suture the skin (Fig. 16.5).


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Fig. 16.5
Unsafe method of auricle stabilization while shaving a lesion


Solution 1

Use forceps to handle the tissue (Fig. 16.6).


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Fig. 16.6
Proper stabilization of the auricle with forceps while shaving a lesion

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May 11, 2016 | Posted by in Dermatology | Comments Off on Earlobe Surgery

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