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Partial Ear Reconstruction Using Septal Cartilage Graft and Skin Expansion.

Giulio Mariani1, Andrea Saltarel1, Enzo Ventucci1

  • 1Maxillofacial Surgery Unit, Policlinico Tor Vergata, Rome, Italy.

The Journal of Craniofacial Surgery
|April 22, 2026
PubMed
Summary
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Delayed ear reconstruction for traumatic partial amputation effectively used tissue expansion and septal cartilage grafts. This method provided a satisfactory outcome, offering a viable alternative for complex ear deformities.

Area of Science:

  • Plastic Surgery
  • Otolaryngology
  • Regenerative Medicine

Background:

  • Acquired ear deformities result from trauma, burns, cancer, or animal bites.
  • Delayed reconstruction presents unique challenges in achieving aesthetic and functional restoration.
  • Partial ear amputation requires specialized reconstructive techniques.

Purpose of the Study:

  • To present a case of delayed partial ear reconstruction.
  • To evaluate the efficacy of tissue expansion and autologous septal cartilage grafting.
  • To demonstrate a successful three-step surgical approach for traumatic ear defects.

Main Methods:

  • A three-step surgical procedure was employed for delayed ear reconstruction.
  • A tissue expander was implanted to achieve adequate skin coverage.
Keywords:
Cartilage graftear reconstructiontissue expansion

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  • Autologous septal cartilage was harvested and shaped for reconstruction, followed by a skin graft to recreate the retroauricular sulcus.

    • Main Results:

    • The surgical reconstruction resulted in a satisfactory and stable aesthetic outcome.
    • The postoperative period was uneventful, indicating good tissue integration and healing.
    • The combination of tissue expansion and septal cartilage graft proved effective for this complex defect.

    Conclusions:

    • Tissue expansion and autologous septal cartilage grafts are effective options for delayed partial ear reconstruction.
    • This technique offers a viable solution for ear deformities where traditional methods may carry higher risks.
    • The presented case highlights a successful approach to restoring ear anatomy after traumatic amputation.