A Modified Method for Ear Projection in Auricular Reconstruction: Split-Thickness Skin Graft Combined with...

Area of Science:

• Plastic Surgery
• Otolaryngology
• Regenerative Medicine

Background:

• The Nagata technique is a common method for ear reconstruction.
• The second stage often requires additional incisions and donor site scarring, impacting patient satisfaction.

Purpose of the Study:

• To present a refined auricular reconstruction technique using a retroauricular fascia flap (RFF) and split-thickness skin graft.
• To evaluate the safety, efficacy, and aesthetic outcomes of this novel approach.

Main Methods:

• A retroauricular fascia flap (RFF) combined with split-thickness skin graft was used for postauricular coverage.
• 337 ear reconstructions were performed on 324 patients from April 2019 to January 2024.
• Outcomes assessed included microtia classification, surgery duration, complications, scarring, and patient satisfaction.

Main Results:

• The refined technique avoided additional scarring in the temporoparietal and donor skin areas.
• Average second-stage surgery duration was 2.8 hours.
• 94% of patients reported satisfaction with outcomes, with no long-term scarring, flap necrosis, or other complications.

Conclusions:

• The combination of split-thickness skin grafts and a retroauricular fascial flap is a safe and effective method for second-stage auricular reconstruction.
• This technique provides aesthetically pleasing results and enhances patient satisfaction.