Reconstrucción auricular total mediante colgajo radial de antebrazo prelamado en tres etapas tras avulsión del cuero...

Loss of mastoid skin and temporoparietal fascia after complete scalp avulsion precludes conventional ear reconstruction. We report a total auricular reconstruction using a remote, prelaminated radial-forearm flap. A 42-year-old woman with prior scalp avulsion and right ear amputation underwent (1) 200-mL forearm expansion, (2) autogenous costal-cartilage framework insertion and maturation, and (3) free transfer to the mastoid area anastomosed to the preserved proximal superficial temporal vessels. At 6 months the neo-auricle showed symmetric contour, color match, and defined helix/anti-helix; the donor forearm retained full wrist motion. No infection, minimal exposure, or cartilage resorption occurred. Remote, prelaminated radial-forearm flap auricular reconstruction provides a reliable benchmark for ear restoration when all local options have been exhausted.