Arch Hand Microsurg.  2022 Dec;27(4):364-367. 10.12790/ahm.22.0061.

Posttraumatic single-stage ear reconstruction with a contralateral temporoparietal free flap: a case report

• Suh YC
• Lee N
• Kim YS
• Roh TS
• Yun IS

• KMID: 2536226
• DOI: http://doi.org/10.12790/ahm.22.0061

Abstract

In addition to the inherent difficulties of ear reconstruction, including its three-dimensional, symmetrical, and bilateral nature, posttraumatic ear reconstruction is even more challenging because of the destruction of the adjacent soft tissues and vessels following trauma. In severe cases, ipsilateral reconstruction becomes especially difficult. In the case herein, we present posttraumatic single-stage ear reconstruction with a contralateral temporoparietal fascial free flap using a branch of a facial artery as the recipient vessel. Posttraumatic ear reconstruction should be performed after considering the extent of tissue damage, the available treatment options, and the patient’s preferences. In challenging posttraumatic ear reconstruction cases that involve a lack of soft tissue and vessels on the ipsilateral side, a contralateral temporoparietal fascial free flap using a facial artery as the recipient vessel should be considered as a treatment option.

Keyword

Acquired ear deformities; Free tissue flaps; Free tissue flaps; Reconstructive surgical procedures

Figure

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  Fig. 1. Patient’s photograph before operation. Previously operated anterolateral thigh flap and the posttraumatic scar was noted at the frontotemporal area. (A) Front view. (B) Lateral view.

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  Fig. 2. Elevated temporoparietal fascia flap with superficial temporal artery.

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  Fig. 3. (A) Polyethylene ear framework was covered with the fascia flap and laid on desired position. Pedicle was laid caudal to the external auditory meatus, through the subcutaneous tunnel beneath the remnant ear lobule. Microanastomosis was performed between the free flap perforator and facial artery. (B) Immediate postoperative photograph (lateral view).

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  Fig. 4. A photograph of patient 1 month after the operation. The flap was well-taken without complication.

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  Fig. 5. A photograph of patient 9 months after the operation. (A) Front view. (B) Lateral view.

Reference

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