Summary: Cartilage framework exposure during total ear reconstruction requires an early salvage procedure and a secure coverage.We present a case that has been successfully covered by a retro-auricular fascia flap and a Kulturbeutel skin graft.Because we were dealing with a post-traumatic ear amputation with extensive scarring, the flap was designed to include both the retro-auricular artery and the occipital artery for an enhanced Frontloader Door Hinge Bush vascular security.This flap design may play a more important role especially in post-traumatic ear reconstruction.
Keywords: Cartilage framework, Salvage procedure, Retro-auricular fascia, Ear reconstruction.