J Reconstr Microsurg 2001; 17(5): 325-330
DOI: 10.1055/s-2001-16023
Copyright © 2001 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Reconstruction after Extirpation of the Auricle

Stephan J. Finical1 , Craig H. Johnson2
  • 1Charlotte Plastic Surgery, Charlotte, NC
  • 2Division of Plastic Surgery, Mayo Clinic, Rochester, MN
Further Information

Publication History

Publication Date:
31 December 2001 (online)

ABSTRACT

The purpose of this study is to introduce the procedure and results of a combined free flap reconstruction with an external ear prosthesis after tumor extirpation from the lateral side of the head. Over the last 3 years, four patients have undergone total auricle extirpation for varying tumor processes. Each was reconstructed with a radial forearm flap, preserving the external auditory meatus. After primary healing and adjuvant therapy, a prosthetic pinna was applied. Combined use of microsurgical techniques with a prosthetic ear has produced an aesthetically superior result for large soft-tissue defects of the side of the head. This combined technique is able to provide the best aspects of both microsurgical and prosthetic reconstructions for a superior result for the patient.

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