Reconstruction after extirpation of the auricle.

The purpose of this study is to introduce the procedure and results of a combined free flap reconstruction with an external ear prosthesis after tumor extirpation from the lateral side of the head. Over the last 3 years, four patients have undergone total auricle extirpation for varying tumor processes. Each was reconstructed with a radial forearm flap, preserving the external auditory meatus. After primary healing and adjuvant therapy, a prosthetic pinna was applied. Combined use of microsurgical techniques with a prosthetic ear has produced an aesthetically superior result for large soft-tissue defects of the side of the head. This combined technique is able to provide the best aspects of both microsurgical and prosthetic reconstructions for a superior result for the patient.