Aesthetic Plastic Surgery

, Volume 41, Issue 1, pp 56–59 | Cite as

Iatrogenic Through-and-Through Conchal Defect Secondary to Auricular Cartilage Graft

  • Hyung-Suk Ro
  • Si-Gyun Roh
  • Jin Yong Shin
  • Nae-Ho Lee
  • Kyung-Moo Yang
Case Report Face and Neck Surgery



Over the past few years, conchal cartilage has been most often used in rhinoplasty. The donor site complications following conchal cartilage graft harvesting are scar formation, hematoma formation, and delayed wound healing, although hematoma is one of the most important and common complications. A complete conchal defect as a complication of auricular cartilage graft harvesting has not been previously reported in the literature. The authors report an unusual case of an iatrogenic conchal defect resulting from conchal cartilage graft harvesting that was treated using a posterior auricular island flap.


A 24-year-old male with a left conchal inflammation and perforation visited our plastic surgery department after receiving augmentation rhinoplasty and tip plasty using a conchal cartilage graft. A tight dressing had been applied to the ear, and postoperative infection was uncontrolled, which resulted in iatrogenic conchal perforation.


A tie-over bolster dressing has been widely used to prevent hematoma following conchal cartilage graft harvesting with an associated donor site complication. However, a tight tie-over dressing and inappropriate postoperative care can cause complete through-and-through conchal defects. The posterior auricular island flap provides an elegant means of reconstructing conchal defects.


In the described case, aesthetic reconstruction of a conspicuous iatrogenic conchal defect was achieved with minimal scarring using the posterior auricular island flap. To the best of our knowledge, this report is the first to describe reconstruction of an iatrogenic defect in the concha as a complication of auricular cartilage graft harvesting.

Level of evidence V

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Conchal defect Iatrogenic defect Posterior auricular flap Concha reconstruction 


Compliance with Ethical Standards

Conflict of interest

The authors have no conflict of interest to declare.


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Copyright information

© Springer Science+Business Media New York and International Society of Aesthetic Plastic Surgery 2016

Authors and Affiliations

  • Hyung-Suk Ro
    • 1
  • Si-Gyun Roh
    • 1
  • Jin Yong Shin
    • 1
  • Nae-Ho Lee
    • 1
  • Kyung-Moo Yang
    • 1
  1. 1.Department of Plastic and Reconstructive SurgeryChonbuk National University Medical SchoolJeonju-siRepublic of Korea

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