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Ear Reconstruction following Mohs Micrographic Surgery.

Vamsi C Mohan^1,2, Winston R Owens^1,2, Josephine L Schmidt^1,2

¹Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.

Seminars in Plastic Surgery

|December 19, 2024

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Ear reconstruction after Mohs surgery is crucial for restoring appearance. This article discusses various techniques to achieve optimal aesthetic outcomes for cutaneous malignancy defects.

Area of Science:

Dermatology
Plastic Surgery
Otolaryngology

Background:

The ear is susceptible to cutaneous malignancies, often requiring Mohs micrographic surgery (MMS).
Surgical defects on the ear can be aesthetically significant and impact symmetry.
Reconstruction is vital for restoring the ear's appearance and contralateral balance.

Purpose of the Study:

To review and discuss diverse ear reconstruction techniques post-Mohs surgery.
To provide guidance on managing defects acquired from cutaneous malignancy removal.
To highlight methods for achieving optimal aesthetic results in ear reconstruction.

Main Methods:

Review of reconstructive techniques applicable to ear defects.
Discussion of options based on defect size and location.

Keywords:

Antia–Buch flap auricle ear ear reconstruction folded postauricular flap total ear reconstruction

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Emphasis on careful planning and execution in reconstructive surgery.

Main Results:

Various reconstructive options exist, guided by the 'reconstructive ladder'.
Successful ear reconstruction depends on meticulous surgical planning.
Aesthetic outcomes are achievable with appropriate technique selection.

Conclusions:

Ear reconstruction following Mohs surgery is essential for aesthetic restoration.
Choosing the right technique is critical for optimal functional and cosmetic results.
Understanding reconstructive options aids in managing complex ear defects.