Related Experiment Video
Updated: Nov 3, 2025
Endaural Endoscopic Atticoantrotomy Retrograde Mastoidectomy using a Constant Suction Bone-drilling Technique
Published on: May 23, 2021
Auricular reconstruction after Mohs micrographic surgery: analysis of 101 cases
Guilherme Canho Bittner1, Elisa Mayumi Kubo2, Bruno de Carvalho Fantini3
1Dermatology Service, Universidade Federal de Mato Grosso do Sul, Campo Grande, MS, Brazil; Private Practice, Campo Grande, MS, Brazil.
Background:
The ear is a region that has a high prevalence of cutaneous carcinomas and several guidelines indicate Mohs micrographic surgery as the first-choice treatment in such cases. Although the technique allows maximum preservation of healthy tissue, many auricular surgical wounds constitute a challenge due to the peculiar local anatomy, with evident curves and reliefs. Auricular reconstruction should prioritize function before aesthetics, but without leaving the latter aside, since postoperative distortions can have a significant psychological impact.
Objective:
To describe the authors' experience in auricular reconstruction after Mohs surgery and to evaluate the most frequently used repair methods.
Methods:
Retrospective study of consecutive cases submitted to Mohs surgery and auricular reconstruction, over a period of 3 years.
Results:
One hundred and one cases were included and the most common repair method was primary closure (n = 35), followed by full-thickness skin graft (n = 30) and flaps (n = 24). In thirty cases, reconstruction methods were associated. Seven patients had complications (partial graft necrosis, postoperative bleeding or infection).
Study Limitations:
Retrospective design and the absence of long-term follow-up of some cases.
Conclusions:
The dermatologic surgeon should be familiarized with different options for auricular reconstruction. Primary closure and skin grafts were the most frequently used repair methods.
