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Updated: Apr 25, 2026
Endaural Endoscopic Atticoantrotomy Retrograde Mastoidectomy using a Constant Suction Bone-drilling Technique
Published on: May 23, 2021
Reconstruction of post-traumatic full-thickness defects of the upper one-third of the auricle
Hesham Aly Helal1, Nada Abdel Sattar Mahmoud1, Abd-Al-Aziz Hanafy Abd-Al-Aziz1
1Department of Plastic Surgery, Ain Shams University, Heliopolis, Egypt.
Background:
Reconstruction of partial ear defects represents a difficult challenge to the plastic surgeon due to the delicate and intricate architecture of the chondrocutaneous sandwich of the external ear.
Methods:
Fourteen patients with acute or previous traumatic subtotal loss of the upper one-third of the auricle were treated with autologous contralateral conchal cartilage graft and superficial temporoparietal fascia flaps.
Results:
The symmetry of the reconstructed ears was satisfactory and the cosmetic appearance was acceptable for 13 patients. Minor hematoma at the conchal cartilage graft donor site occurred in one (7.1%) patient and marginal loss of temporoparietal flap in another (7.1%). Revision surgery was required for widening of the scar and obscuring of the upper pole contour in one (7.1%) patient. No additional complications were encountered.
Conclusion:
The authors recommend using this combined technique for reconstruction of full-thickness auricular defects.
