Secondary ear reconstruction with cartilage grafts covered by axial, random, and free flaps of temporoparietal fascia.
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.
D000293:Adolescent; D000328:Adult; D002356:Cartilage / Q000637:transplantation*; D002648:Child; D002921:Cicatrix / Q000601:surgery; D004426:Ear Deformities, Acquired / Q000473:pathology / Q000601:surgery; D004431:Ear, External / Q000002:abnormalities / Q000473:pathology / Q000601:surgery*; D005205:Fascia / Q000098:blood supply; D000071938:Fasciotomy; D006801:Humans; D008297:Male; D012086:Reoperation; D013524:Surgical Flaps