Aesthetic reconstruction of the auricle

Sclafani, Anthony P.; Mashkevich, Grigoriy

doi:10.1016/j.fsc.2006.01.004

Cited by 32Reconstructive Facial Surgery TechniquesCongenital Ear and Nasal AnomaliesReconstructive Surgery and Microvascular Techniques

Aesthetic reconstruction of the auricle

Sclafani, Anthony P., Mashkevich, Grigoriy·2006·Facial Plastic Surgery Clinics of North America

DOI 10.1016/j.fsc.2006.01.004

Open this paper in CoChat — free account

Abstract

Repair of auricular defects can be a challenging endeavor due to a broad variety of clinical presentations and available reconstructive options. Acquired auricular deformities most commonly result from a wide range of traumatic injuries and following Mohs' extirpation of cutaneous malignancies. A choice of repair ultimately depends on patient factors, amount of soft tissue loss, and location of the auricular defect. Meticulous re-establishment of proper physical dimensions, smooth external contour, and complex surface landmarks ensures satisfactory aesthetic outcomes for surgeons and their patients.

Integrity signals

Registry

Crossref · 10.1016/j.fsc.2006.01.004

Cites

33 of 33 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Defects to the concavity of the ear are often excellent candidates to heal by secondary intention.
“Additionally, defects to the concavity of the ear are often excellent candidates to heal by secondary intention.[15][16][17][18][19][20]”
From Ear Reconstruction following Mohs Micrographic Surgery (2024) · cites this paper as [15]

Prognostic factors for local recurrence, metastasis, and survival rates in squamous cell carcinoma of the skin, ear, and lip
ROWE, D. E., Carroll, R. J., & Day, C. L. (1992) · Journal of the American Academy of Dermatology · doi:10.1016/0190-9622(92)70144-5 · Cited by 1,517 · see citing works
Nonmelanoma skin cancer in the United States: Incidence
Miller, D. L., & Weinstock, M. A. (1994) · Journal of the American Academy of Dermatology · doi:10.1016/s0190-9622(08)81509-5 · Cited by 1,118 · see citing works
Long‐Term Recurrence Rates in Previously Untreated (Primary) Basal Cell Carcinoma: Implications for Patient Follow‐Up
ROWE, D. E., Carroll, R. J., & Day, C. L. (1989) · The Journal of Dermatologic Surgery and Oncology · doi:10.1111/j.1524-4725.1989.tb03166.x · Cited by 800 · see citing works
Chondrocutaneous Advancement Flap for the Marginal Defect of the Ear
ANTIA, N. H., & BUCH, V. I. (1967) · Plastic and Reconstructive Surgery · doi:10.1097/00006534-196705000-00006 · Cited by 300 · cited 1× · see citing works
“A chondrocutaneous advancement flap, as originally described by Antia and Buch [18] in 1967, provides a reliable single stage repair for marginal auricular defects [Fig.”
Method
Facial Plastic and Reconstructive Surgery
Papel, I. D., Frodel, J. L., Holt, R., Larrabee, W. F., Nachlas, N. E., Park, S. S., Sykes, J. M., Toriumi, D. M., Adamson, P. A., Annino, D. J., et al. (2009) · Thieme eBooks · doi:10.1055/b-002-72248 · Cited by 281 · see citing works
Wound healing by secondary intention
Zitelli, J. A. (1983) · Journal of the American Academy of Dermatology · doi:10.1016/s0190-9622(83)70150-7 · Cited by 260 · see citing works
Psychosocial Outcome of Patients After Ear Reconstruction: A Retrospective Study of 62 Patients
Horlock, N., V??gelin, E., Bradbury, E. T., Grobbelaar, A. O., & Gault, D. T. (2005) · Annals of Plastic Surgery · doi:10.1097/01.sap.0000155284.96308.32 · Cited by 228 · see citing works
Anthropometric Facial Analysis of the African American Woman
Porter, J. P., & Olson, K. L. (2001) · Archives of Facial Plastic Surgery · doi:10.1001/archfaci.3.3.191 · Cited by 205 · see citing works
A Morphometric Study of the External Ear: Age- and Sex-Related Differences
Brucker, M. J., Patel, J. C., & Sullivan, P. K. (2003) · Plastic & Reconstructive Surgery · doi:10.1097/01.prs.0000070979.20679.1f · Cited by 147 · see citing works
Auricular Reconstruction: Indications for Autogenous and Prosthetic Techniques
Thorne, C. H. M., Brecht, L. E., Bradley, J. P., Levine, J. P., Hammerschlag, P. E., & Longaker, M. T. (2001) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-200104150-00024 · Cited by 127 · see citing works
Microsurgical Reattachment of Totally Amputated Ears
Mutimer, K. L., Banis, J. C., Upton, J., & Upton, J. (1987) · Plastic and Reconstructive Surgery · doi:10.1097/00006534-198704000-00003 · Cited by 118 · cited 1× · see citing works
“growing body of successful case reports in the literature supports repair with microvascular replantation [23,24].”
Result
RECONSTRUCTION OF THE AURICLE–PART 1
Converse, J. M. (1958) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-195808000-00006 · Cited by 117 · see citing works
Artistic Anatomy, Dimensions, and Proportions of the External Ear
Tolleth, H. (1978) · Clinics in Plastic Surgery · doi:10.1016/s0094-1298(20)32137-4 · Cited by 108 · see citing works
THE ACQUIRED AURICULAR DEFORMITY
Brent, B. (1977) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-197759040-00001 · Cited by 95 · see citing works
Untitled work
(1971) · PubMed · Cited by 94 · see citing works
Anthropometry of the Normal and Defective Ear
Farkas, L. G. (1990) · Clinics in Plastic Surgery · doi:10.1016/s0094-1298(20)31238-4 · Cited by 83 · see citing works
THE ACQUIRED AURICULAR DEFORMITY
Brent, B. (1977) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-197704000-00001 · Cited by 80 · see citing works
Long‐term study of quality and safety of osseointegration for the retention of auricular prostheses
Westin, T., Tjellström, A. M. R., Hammerlid, E. B., BergstrÖm, K., Rangert, B., & Myers, E. N. (1999) · Otolaryngology · doi:10.1016/s0194-5998(99)70142-7 · Cited by 68 · see citing works
Facial Plastic and Reconstructive Surgery
(2016) · Thieme eBooks · doi:10.1055/b-0036-135546 · Cited by 64 · see citing works
Reconstruction of the auricle
Cheney, M. L., Hadlock, T. A., & Quatela, V. C. (2007) · Local Flaps in Facial Reconstruction · doi:10.1016/b978-0-323-03684-9.50027-x · Cited by 60 · see citing works
A METHOD OF PARTIAL EAR RECONSTRUCTION FOR AVULSION OF THE UPPER PORTION OF THE EAR
Crikelair, G. F. (1956) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-195606000-00003 · Cited by 59 · see citing works
Silicone auricular prosthesis
Butler, D., Gion, G. G., & Rapini, R. P. (2000) · Journal of the American Academy of Dermatology · doi:10.1067/mjd.2000.107503 · Cited by 46 · see citing works
The Effect of Hyperbaric Oxygen Therapy on Composite Graft Survival
Li, E. N., Menon, N. G., Rodriguez, E. D., Norkunas, M., Rosenthal, R. E., Goldberg, N. H., & Silverman, R. P. (2004) · Annals of Plastic Surgery · doi:10.1097/01.sap.0000112284.55035.aa · Cited by 44 · see citing works
Microsurgical Replantation of a Totally Amputated Ear Without Venous Repair
Talbi, M., Stussi, J.-D., & Meley, M. (2001) · Journal of Reconstructive Microsurgery · doi:10.1055/s-2001-16354 · Cited by 32 · see citing works
The acquired auricular deformity
Sokol, A. (1977) · Journal of Pediatric Surgery · doi:10.1016/0022-3468(77)90426-2 · Cited by 31 · see citing works
Reconstructive Facial Plastic Surgery: A Problem-Solving Manual
Dahl, L. D., & Patel, R. B. (2002) · International Journal of Pediatric Otorhinolaryngology · doi:10.1016/s0165-5876(02)00124-6 · Cited by 24 · see citing works
The injured ear: a review of 50 cases
Bardsley, A. F., & Mercer, D. M. (1983) · British Journal of Plastic Surgery · doi:10.1016/0007-1226(83)90131-5 · Cited by 19 · see citing works
Reconstruction of the pinna using pre-auricular flaps.
Vg, L. (1984) · PubMed · Cited by 18 · see citing works
Reconstructive Facial Plastic Surgery: A Problem-Solving Manual
Weerda, H. (2015) · Cited by 15 · see citing works
The external ear
Lucente, F. E., Lawson, W. B., & Novick, N. L. (1995) · Saunders eBooks · Cited by 7 · see citing works
Closure of Conchal Defects
SCHROEDER, W. A. (1995) · Dermatologic Surgery · doi:10.1111/j.1524-4725.1995.tb00262.x · Cited by 4 · see citing works
DISEASES OF THE BREAST
Grabb, W. C. (1976) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-197608000-00018 · Cited by 1 · see citing works
Untitled work
(1992) · doi:10.1597/1545-1569(1992)029

Flagged first, then by citations

1 of the 34 references couldn’t be matched to a known paper.

Sorted by citations

Aesthetic microtia reconstruction with Medpor
Romo, T., & Reitzen, S. (2008) · Facial Plastic Surgery · doi:10.1055/s-2008-1037453 · Cited by 86 · see citing works
Precision of three-dimensional stereo-photogrammetry (3dMD™) in anthropometry of the auricle and its application in microtia reconstruction
Chen, Z.-C., Albdour, M. N., Lizardo, J. A., Chen, Y.-A., & Chen, P. K.-T. (2015) · Journal of Plastic Reconstructive & Aesthetic Surgery · doi:10.1016/j.bjps.2015.02.020 · Cited by 37 · see citing works
Surgical management of skin cancer and trauma involving the middle third of the auricle
Crișan, D., Schneider, L. A., Kastler, S., Scharffetter‐Kochanek, K., Crişan, M., & Veit, J. A. (2018) · JDDG Journal der Deutschen Dermatologischen Gesellschaft · doi:10.1111/ddg.13544 · Cited by 20 · see citing works
Reconstruction of post-traumatic full-thickness defects of the upper one-third of the auricle
Helal, H. A., & Mahmoud, N. A. S. (2014) · Plastic Surgery · doi:10.4172/plastic-surgery.1000851 · Cited by 13 · see citing works
Reconstruction of post-traumatic full-thickness defects of the upper one-third of the auricle
Helal, H., Mahmoud, N. A., & Abd-al-Aziz, A. (2014) · Plastic Surgery · doi:10.1177/229255031402200110 · Cited by 17 · see citing works
Reconstrução parcial de orelha pós-trauma: técnicas simples e eficazes
Ottat, M. R. (2010) · Brazilian Journal of Otorhinolaryngology · doi:10.1590/s1808-86942010000100002 · Cited by 12 · see citing works
Chirurgische Versorgung von Hautkrebs und Trauma im mittleren Drittel der Ohrmuschel
Crișan, D., Schneider, L. A., Kastler, S., Scharffetter‐Kochanek, K., Crişan, M., & Veit, J. A. (2018) · JDDG Journal der Deutschen Dermatologischen Gesellschaft · doi:10.1111/ddg.13544_g · Cited by 9 · see citing works
Reconstructive Options for Auricular Trauma
Wong, K., Wong, A., & Rousso, J. J. (2021) · Facial Plastic Surgery · doi:10.1055/s-0041-1726465 · Cited by 8 · see citing works
The Antia-Buch Chondrocutaneous Advancement Flap for Auricular Reconstruction
Joshi, R., & Sclafani, A. P. (2016) · Ear Nose & Throat Journal · doi:10.1177/014556131609500606 · Cited by 6 · see citing works
Self-citation
The Helix Jelly Roll Flap
Wentzell, M. J., & Wisco, O. J. (2010) · Dermatologic Surgery · doi:10.1111/j.1524-4725.2010.01605.x · Cited by 5 · see citing works
Twenty-Four Years of Powered Endoscopic Nasal Polypectomy
Christmas, D. A., Mirante, J. P., & Yanagisawa, E. (2016) · Ear Nose & Throat Journal · doi:10.1177/014556131609500603 · Cited by 5 · see citing works
Repair of auricular defects following Mohs micrographic surgery or excision: a systematic review of the literature
Shahwan, K. T., Amon, G. J., Archibald, L. K., Bakker, C., Mattox, A. R., Alam, M., & Maher, I. A. (2022) · Archives of Dermatological Research · doi:10.1007/s00403-022-02373-9 · Cited by 4 · see citing works
Reconstruction of lower third auricular defects
Pool, C., & Lighthall, J. G. (2017) · Operative Techniques in Otolaryngology-Head and Neck Surgery · doi:10.1016/j.otot.2017.03.010 · Cited by 3 · see citing works
Two-stage reconstruction of a full-thickness defect of the upper third of the auricle, using an autologous ipsilateral conchal cartilage graft; surgical technique
Hallak, B., Bouayed, S., & Teiga, P. S. (2020) · Otolaryngology Case Reports · doi:10.1016/j.xocr.2020.100231 · Cited by 2 · see citing works
Two-Stage Retroauricular Flap to Reconstruct a Helical Rim Defect
Hsueh, Y., & Shieh, S. (2009) · Dermatologic Surgery · doi:10.1111/j.1524-4725.2009.01299.x · Cited by 2 · see citing works
Facial Trauma
Hill, J. D., & Hamilton, G. S. (2010) · Elsevier eBooks · doi:10.1016/b978-0-323-05283-2.00023-9 · Cited by 2 · see citing works
Rehabilitation of an Auricular Defect Using Surgical Stent.
Arshad, M., Shirani, G., & Refoua, S. (2018) · Europe PMC (PubMed Central) · Cited by 2 · see citing works
Repair of an Extensive Defect of the Ear and Retroauricular Scalp
Shahwan, K. T., Demer, A. M., & Maher, I. A. (2022) · Dermatologic Surgery · doi:10.1097/dss.0000000000003626 · Cited by 1 · see citing works
Wound healing in the vulnerable: A novel case of postauricular wounds caused by mask ties
Yousef, A., Monte, O. L., Harmon, M. N., & Watson, D. J. (2023) · JEM Reports · doi:10.1016/j.jemrpt.2023.100038 · Cited by 1 · see citing works
Reconstruction of a Large Defect of the Helical Rim and Posterior Ear
Dong, J., Goldman, C., & Aigen, A. R. (2023) · Dermatologic Surgery · doi:10.1097/dss.0000000000004017 · Cited by 1 · see citing works
Infection in the Craniomaxillofacial Trauma Patient
Azari, A. F., & Bell, R. B. (2015) · Elsevier eBooks · doi:10.1016/b978-0-323-28945-0.00024-7 · Cited by 1 · see citing works
Ear Reconstruction following Mohs Micrographic Surgery
Mohan, V. C., Owens, W. R., Schmidt, J. L., Burns, H. R., & Buchanan, E. P. (2024) · Seminars in Plastic Surgery · doi:10.1055/s-0044-1791830
Otoplasty in Otolaryngology
Kim, M., & Han, G. C. (2013) · Korean Journal of Otorhinolaryngology - Head and Neck Surgery · doi:10.3342/kjorl-hns.2013.56.7.406
Repair of an Inferior Helical Rim Defect
Ortman, S. A., & Martinez, J. (2016) · Dermatologic Surgery · doi:10.1097/dss.0000000000000796
The Management of Traumatized Auricular Injuries
Kim, M. J., & Han, G. C. (2012) · Journal of Clinical Otolaryngology Head and Neck Surgery · doi:10.35420/jcohns.2012.23.2.190
EAR RECONSTRUCTION SURGERY: OUTCOME ANALYSIS OF 108 PATIENTS
Ali, G., Khan, S. A., Rehman, H. U., Rafique, A., Fareed, G., & Raza, M. (2021) · Pakistan Armed Forces Medical Journal · doi:10.51253/pafmj.v71isuppl-3.7939
Otoplasty
Gaball, C. W., & Keller, M. (2015) · doi:10.1002/9781118993729.ch43
Single-stage Pinna Reconstruction in Thailand Experience
Tungkeeratichai, J., & Apirakkittikul, N. (2024) · Otorhinolaryngology Clinics - An International Journal · doi:10.5005/jp-journals-10003-1480
Evaluation of Auricular Morphologies of Motorcycle Couriers Based on Helmet Usage Using Photogrammetric Methods
Erdoğan, M., Çolak, T., Çolak, S., Sivri, İ., & Kaygın, E. (2024) · International Journal of Morphology · doi:10.4067/s0717-95022024000501416
Cierre por segunda intención en la región auricular, una excelente alternativa
Cataño, S., & Alcalá, F. B. (2024) · Piel · doi:10.1016/j.piel.2024.06.012
Colgajo de interpolación mastoideo con avance retroauricular en 2 etapas para la reconstrucción del borde del hélix
Hubner-Garretón, M. L., & Saavedra-Ruiz, D. (2025) · Piel · doi:10.1016/j.piel.2024.09.004
Microsurgical Reconstruction of the Ear and Temporal Region: Structural and Functional Considerations Including Hearing Rehabilitation—A Narrative Review
Hodea, F.-V., Bordeanu-Diaconescu, E.-M., Cretu, A., Ratoiu, V.-A., Hariga, C.-S., Jecan, C. R., Lascar, I., & Grosu-Bularda, A. (2026) · Audiology Research · doi:10.3390/audiolres16020047

Authors: Sclafani, A. P., & Mashkevich, G.
Affiliations: New York Medical College (US)
Corresponding author: Sclafani, Anthony P.
ORCID: Sclafani, Anthony P.
Venue: Facial Plastic Surgery Clinics of North America
Publisher: Elsevier BV
Published: 2006-05
Volume: 14
Issue: 2
Pages: 103-116
ISSN: 1064-7406 (ISSN-L)
DOI: 10.1016/j.fsc.2006.01.004
OpenAlex: W2154457449
Cited by: 32
References: 34
Citations by year: 2026: 1 · 2025: 1 · 2024: 4 · 2023: 2 · 2022: 2 · 2021: 2 · 2020: 1 · 2018: 3 · 2017: 1 · 2016: 3 · 2015: 3 · 2014: 2 · 2013: 1 · 2012: 1
FWCI: 0.68
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Facial Plastic Surgery Clinics of North America (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
Health Sciences › Medicine › Genetics › Congenital Ear and Nasal Anomalies
Health Sciences › Medicine › Surgery › Reconstructive Surgery and Microvascular Techniques
Keywords: ear reconstruction, auricular defects, ear deformity, ear trauma, soft tissue loss, cosmetic outcome
MeSH terms: Cosmetic Techniques, Ear Cartilage, Ear Deformities, Acquired, Ear, External, Esthetics, Humans, Postoperative Complications, Otologic Surgical Procedures, Suture Techniques, Plastic Surgery Procedures

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

Aesthetic reconstruction of the auricle

Abstract

Integrity signals

Claims the paper makes

Claims other papers make about this one

Cites

Cited by

Related

Record

About these checks