Non-microtia Ear Reconstruction

  • Youssef TahiriEmail author
  • John F. Reinisch


Reconstruction of acquired total ear defects is a very challenging task to undergo given the complex three-dimensional architecture and cosmetic expectations of patients. Patients with an acquired absence of their ear differ from patients with congenital microtia in several ways. Although the reconstructive principles remain similar, auricular reconstruction for acquired defects differs from microtia reconstruction.

In this chapter, we will demonstrate that auricular reconstruction following trauma or ablative surgery can be performed using a porous high-density polyethylene implant covered by a healthy well-vascularized thin fascia flaps and color-matched full-thickness skin grafts.


Acquired defects Polyethylene implant Microtia 


  1. 1.
    Avelar JM. A new technique for reconstruction of the auricle in acquired deformities. Ann Plast Surg. 1987;18(5):454–64.CrossRefGoogle Scholar
  2. 2.
    Pearl RA, Sabbagh W. Reconstruction following traumatic partial amputation of the ear. Plast Reconstr Surg. 2011;127:621–9.CrossRefGoogle Scholar
  3. 3.
    Steffen A, Klaiber S, Katzbach R, Nitsch S, König IR, Frenzel H. The psychosocial consequences of reconstruction of severe ear defects or third-degree microtia with rib cartilage. Aesthet Surg J. 2008;28:404–11.CrossRefGoogle Scholar
  4. 4.
    Bada AM, Pope GH. Use of hyperbaric oxygen as adjunct in salvage of near-complete ear amputation. Plast Reconstr Surg Glob Open. 2013;1:e1–5.CrossRefGoogle Scholar
  5. 5.
    Kalus R. Successful bilateral composite ear reattachment. Plast Reconstr Surg Glob Open. 2014;2:e174–9.CrossRefGoogle Scholar
  6. 6.
    Mladick RA, Carraway JH. Ear reattachment by the modified pocket principle: case report. Plast Reconstr Surg. 1973;51:584–7.CrossRefGoogle Scholar
  7. 7.
    Park C, Lee CH, Shin KS. An improved burying method for salvaging an amputated auricular cartilage. Plast Reconstr Surg. 1995;96:207–10.CrossRefGoogle Scholar
  8. 8.
    Steffen A, Katzbach R, Klaiber S. A comparison of ear reattachment methods: a review of 25 years since Pennington. Plast Reconstr Surg. 2006;118:1358–64.CrossRefGoogle Scholar
  9. 9.
    Dowling JA, Foley ED, Monerief JA. Chrondritis in the burned ear. Plast Reconstr Surg. 1968;42:115–22.CrossRefGoogle Scholar
  10. 10.
    Avelar JM. Artigo expefical; Reconstrucao da orella pos—quiemadura. Revista Brasileira De Queimaduras. 2009;8(2):42–50.Google Scholar
  11. 11.
    Hyams VJ, Batsakis JG, Michaels L. Tumors of the upper respiratory tract and ear. In: Hartmann WH, Sobin LH, editors. Atlas of tumour pathology, vol. 25. Washington, DC: Armed Forces Institute of Pathology; 1988. p. 343.Google Scholar
  12. 12.
    Nindl I, Gottschling M, Stockfleth E. Human papillomaviruses and non-melanoma skin cancer: basic virology and clinical manifestations. Dis Markers. 2007;23:247–59.CrossRefGoogle Scholar
  13. 13.
    Molho-Pessach V, Lotem M. Viral carcinogenesis in skin cancer. Curr Probl Dermatol. 2007;35:39–51.CrossRefGoogle Scholar
  14. 14.
    Byers RM, Smith JL, Russell N, Rosenberg V. Malignant melanoma of the external ear. Review of 102 cases. Am J Surg. 1980;140:518–21.CrossRefGoogle Scholar
  15. 15.
    Davidsson A, Hellquist HB, Villman K, Westman G. Malignant melanoma of the ear. J Laryngol Otol. 1993;107:798–802.CrossRefGoogle Scholar
  16. 16.
    Arons MS, Savin RC. Auricular cancer. Some surgical and pathologic considerations. Am J Surg. 1971;122:770–6.CrossRefGoogle Scholar
  17. 17.
    Pockaj BA, Jaroszewski DE, Dicaudo DJ, Hentz JG, Buchel EW, Gray RJ, et al. Changing surgical therapy for melanoma of the external ear. Ann Surg Oncol. 2003;10:689–96.CrossRefGoogle Scholar
  18. 18.
    Narayan D, Ariyan S. Surgical considerations in the management of malignant melanoma of the ear. Plast Reconstr Surg. 2001;107:20–4.CrossRefGoogle Scholar
  19. 19.
    Dost P, Lehnerdt G, Kling R, Wagner SN. Surgical therapy of malignant melanoma of the external ear. HNO. 2004;52:33–7.CrossRefGoogle Scholar
  20. 20.
    Tanzer RC. Congenital deformities of the Auricle. Ch 35. In: Converse JM, editor. Reconstructive plastic surgery, vol. 3. 2nd ed. Philadelphia: WB Saunders; 1977. p. 1671–719.Google Scholar
  21. 21.
    Antia NH, Buch VI. Chondrocutaneous advancement flap for the marginal defect of the ear. Plast Reconstr Surg. 1967;39:472.CrossRefGoogle Scholar
  22. 22.
    Antia NH. Repair of the segmental defects of the auricle in mechanical trauma. In: Tranzer RC, Edgerton MT, editors. Symposium on reconstruction of the auricle. St. Louis: Mosby. p. 218.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Plastic and Reconstructive SurgeryCedars-Sinai Medical CenterLos AngelesUSA
  2. 2.Keck School of MedicineUniversity of Souther CaliforniaLos AngelesUSA
  3. 3.Craniofacial and Pediatric Plastic SurgeryCedars Sinai Medical CenterLos AngelesUSA

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