Borderline indications for ear reconstruction

Ralf Katzbach, Henning Frenzel, Susanne Klaiber, Stefan Nitsch, Armin Steffen*

*Corresponding author for this work
6 Citations (Scopus)


While the indication for an ear reconstruction with rib cartilage is clear in pediatric patients and patients without previous surgery, there are borderline cases in which neither a reconstruction nor a prosthesis seems to be first choice.Within the last 6 years, approximately 120 patients were treated with a reconstruction with rib cartilage and 20 with a prosthesis at our hospital.Patients without extensively scarred periauricular tissue clearly benefit by a reconstruction with cartilage. The classic indication for an ear prosthesis is status post-malignant tumor resection. In borderline cases presenting with heavy scars, the most favorable repair method has to be decided upon individually. Under these circumstances, one of the main criteria for a reconstruction with rib cartilage is a viable temporoparietal fascia flap. A consideration that is important to note is that an unfavorable ear reconstruction can be converted almost always into a prosthesis repair but very rarely vice versa.

Original languageEnglish
JournalAnnals of Plastic Surgery
Issue number6
Pages (from-to)626-630
Number of pages5
Publication statusPublished - 12.2006


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