Work

Three‐Stage Prelaminated Radial Forearm Flap for Total Auricular Reconstruction Following Scalp Avulsion Injury

Year: 2026

Type: article

Abstract: Loss of mastoid skin and temporoparietal fascia after complete scalp avulsion precludes conventional ear reconstruction. We report a total auricular reconstruction using a remote, prelaminated radial-forearm flap. A 42-year-old woman with prior scalp avulsion and right ear amputation underwent (1) 200-mL forearm expansion, (2) autogenous costal-cartilage framework insertion and maturation, and (3) free transfer to the mastoid area anastomosed to the preserved proximal superficial temporal vessels. At 6 months the neo-auricle showed symmetric contour, color match, and defined helix/anti-helix; the donor forearm retained full wrist motion. No infection, minimal exposure, or cartilage resorption occurred. Remote, prelaminated radial-forearm flap auricular reconstruction provides a reliable benchmark for ear restoration when all local options have been exhausted.

Source: Clinical Case Reports

DOI: 10.1002/ccr3.72081

Authors: Bo Liang, Yan Xue, Wanqiao Zhang, Junhong Lan

Institution: Xiamen University

Language: English

Topic: Reconstructive Facial Surgery Techniques

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,820