Use of postauricular skin grafts for vestibular reconstruction

The use of full-thickness postauricular skin grafts for vestibular reconstruction is described. The procedure offers the advantages of a concealed donor scar, minimal patient discomfort and morbidity, ease of procurement, and confinement of the operations to a single region. Its use in 17 patients (31 grafts) resulted in complete take in 90.3% of the grafts. Maintenance of vestibular depth in most patients was maintained at 1-year follow-up. The disadvantages of the procedure are the limited amount of skin available and the need to suture the graft to the recipient site.