title: Ear defects.
abstract: The projection and exposure of the auricle make it particularly susceptible to actinic injury and thus to cutaneous malignancies. Auricular reconstruction is challenging because of its unique surface anatomy and undulating topography. This article organizes auricular defects into different categories based on anatomic location and extent of tissue loss, including skin-only defects, small composite defects, full-thickness defects involving or sparing the upper third of the ear, and total auricular loss. The authors share an algorithm for repair of the array of auricular defects.
authors.affiliation: Department of Otolaryngology-Head & Neck Surgery, University of Virginia Health System, Charlottesville, USA.
authors.forename: David C
authors.initials: DC
authors.lastname: Shonka
authors.forename: Stephen S
authors.initials: SS
authors.lastname: Park
mesh_terms: D054644:Ear Auricle / Q000473:pathology / Q000601:surgery; D004431:Ear, External / Q000473:pathology / Q000601:surgery*; D004954:Esthetics; D005260:Female; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods; D012225:Rhinoplasty / Q000379:methods*; D018570:Risk Assessment; D012878:Skin Neoplasms / Q000473:pathology / Q000601:surgery*; D016038:Skin Transplantation / Q000379:methods; D013524:Surgical Flaps / Q000098:blood supply*; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology