Arch Aesthetic Plast Surg.  2019 Apr;25(2):65-68. 10.14730/aaps.2019.01613.

Modified composite graft using diced autogenous cartilage for amputated ear reconstruction: A case report

• Yu HH
• Choi Y

• KMID: 2449220
• DOI: http://doi.org/10.14730/aaps.2019.01613

Abstract

Trauma to the auricle is common given its prominent position, and various methods for ear reconstruction exist. Herein, we present our experience of ear reconstruction using diced autogenous cartilage. A 72-year-old woman fell from a 1-m height, damaging her ear in the process. The ear helix, which was approximately 3.5×3 cm² in size, was amputated. The cartilage was diced into 1-mm pieces. The detached skin was made into a pocket and filled with the diced cartilage. Molding was performed with tie-over dressings on the anterior and posterior areas of the scaphoid fossa. Ten days post-surgery, the wound showed signs of successful recovery, and the contour of the ear helix was maintained. Ten months later, the cartilage in the damaged ear helix was intact. Conventional composite grafts on amputated ears have size limitations and exhibit significant resorption, and loss of anatomical structures and stability often occur. In this case, the operating time required to complete the composite graft was short, and molding the contour was not complex. The original ear structure was maintained over the long term and did not require an additional operation for aesthetic purposes. We believe that this is a useful method for the reconstruction of an amputated ear.

Keyword

Ear; Cartilage; Surgery; Wounds and injuries

MeSH Terms

Aged
Bandages
Cartilage*
Ear*
Female
Fungi
Humans
Methods
Skin
Transplants*
Wounds and Injuries