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Two-Step Reconstruction of Non-Marginal Auricular Defects
Maria Barbara Heinz1, Hosein Ghanepur2, Alireza Ghassemi3
1Resident, Department of Oral and Maxillofacial Surgery, Bethesda Hospital Mönchengladbach, Academic Hospital of RWTH Aachen, Mönchengladbach, Germany.
Summary
This study presents a two-stage technique for auricular reconstruction, achieving excellent aesthetic outcomes for full-thickness ear defects with minimal surgical morbidity. The refined method ensures patient satisfaction and simplifies donor site closure.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Otolaryngology
Background:
- Auricular reconstruction is a complex procedure in facial surgery.
- Non-marginal full-thickness defects of the auricle present significant reconstructive challenges.
Purpose of the Study:
- To describe a refined 2-stage surgical technique for repairing non-marginal full-thickness auricular defects.
- To evaluate the efficacy and outcomes of this novel auricular reconstruction method.
Main Methods:
- A cohort of 13 patients with partial to complete loss of the auricular concha underwent the 2-stage repair.
- Tissue from pre- and retroauricular regions was utilized for reconstruction.
- Procedures were performed in an ambulatory setting under local anesthesia.
Main Results:
- All 13 patients reported excellent esthetic results and high satisfaction.
- Low surgical morbidity was observed, with no instances of flap necrosis.
- Minimal changes in auricular dimensions (0-4 mm) and tension-free donor site closure were achieved.
Conclusions:
- The described 2-stage technique effectively reconstructs centrally located full-thickness auricular defects.
- The method is straightforward, minimizes surgical steps, and facilitates donor site closure.
- Excellent outcomes and patient satisfaction underscore the technique's clinical value.
