Posttraumatic single-stage ear reconstruction with a contralateral temporoparietal free flap: a case report

In addition to the inherent difficulties of ear reconstruction, including its three-dimensional, symmetrical, and bilateral nature, posttraumatic ear reconstruction is even more challenging because of the destruction of the adjacent soft tissues and vessels following trauma. In severe cases, ipsilateral reconstruction becomes especially difficult. In the case herein, we present posttraumatic single-stage ear reconstruction with a contralateral temporoparietal fascial free flap using a branch of a facial artery as the recipient vessel. Posttraumatic ear reconstruction should be performed after considering the extent of tissue damage, the available treatment options, and the patient’s preferences. In challenging posttraumatic ear reconstruction cases that involve a lack of soft tissue and vessels on the ipsilateral side, a contralateral temporoparietal fascial free flap using a facial artery as the recipient vessel should be considered as a treatment option.