Auricular Reconstruction Following Traumatic Amputation: A Historical Review and Contemporary Treatment Algorithm

Background: Traumatic auricular amputation represents a rare but complex reconstructive challenge, and numerous surgical techniques have been developed over the past century to optimize functional and aesthetic outcomes. This historical review examines current auricular reattachment and replantation strategies by comparing established surgical techniques for traumatic auricular amputation. Methods: A historical literature search was conducted in PubMed to identify relevant case reports on auricular reconstruction following amputation, dating from 1898 to the present. Eligible studies were reviewed according to the surgical technique used: composite graft reattachment, local flap, pocket techniques, rib cartilage reconstruction, microsurgical replantation, and tissue engineering. Key milestones were documented chronologically and visualized in a timeline. Results: A total of six major reconstructive approaches were identified in the literature, highlighting the historical evolution of auricular replantation methods from 1898 to 2018. Compiled data were visualized to underscore the procedural development and categorize surgical innovations over time. Conclusions: This review presents a synthesized treatment algorithm that integrates historical context and modern adaptations of auricular replantation techniques. The integrated approach provides a structured framework for managing auricular amputations and promotes standardized practices to optimize functional and aesthetic outcomes in auricular reconstructive surgery.