Laminate-Plasty Reconstruction of Partial Auricular Defects: A New Method

Abstract

The problems surrounding the reconstruction of partial defects of the external ear are examined, and a new method is presented for the reconstruction of defects of the helix where up to one-half is missing. The operative procedure has the following underlying principles: that for the ear to sit naturally there must be an 8–10 mm wide rim of cartilage along the whole periphery; and the three layers of the ear, like layers of veneer, can be separated from each other and, as flaps, reconstruct a defect where the donor area of the ear only needs to have two layers. This reconstruction can be carried out ambulatorily, and gives satisfactory cosmetic and functional results.