[Reconstruction of the middle third marginal auricular defect]

Area of Science:

• Plastic Surgery
• Otolaryngology
• Reconstructive Surgery

Background:

• Middle third auricular defects pose reconstructive challenges.
• Previous methods may require multiple stages or result in significant scarring.

Observation:

• A novel technique utilizing a V-shaped retroauricular skin flap with an ipsilateral conchal cartilage graft was employed.
• The V-incision's base was positioned on the damaged ear for flap creation.

Findings:

• The described surgical approach successfully reconstructed the middle third auricular defect in a single operative session.
• The technique yielded an adequate auricular circumference and preserved the ear's overall shape.
• Minimal scarring was observed in the mastoid region post-reconstruction.

Implications:

• This single-stage procedure offers an effective and aesthetically pleasing solution for middle third auricular defects.
• The technique minimizes patient morbidity by avoiding staged reconstructions.
• Further studies could explore long-term outcomes and patient satisfaction with this reconstructive method.