Secondary Ear Reconstruction with Cartilage Grafts Covered by Axial, Random, and Free Flaps of Temporoparietal Fascia

Abstract

Secondary ear reconstructions due to either previous surgical failures or severe traumatic injuries present a significant reconstructive challenge. In this paper we introduce an aggressive reconstructive approach in which radical scar excision is followed by immediate coverage of a newly sculpted cartilage framework with a temporoparietal fascial flap and skin graft. This approach evolved through experience with 40 patients who required secondary reconstructions due to either previous surgeries or trauma.