Abstract
SURGICAL CHALLENGE The ear presents unique challenges in reconstruction, including the need to recreate distinct subunits of a complex 3-dimensional structure and cartilaginous framework. The postauricular flap is a workhorse flap for reconstruction of the scapha with exposed cartilage. A modification of the postauricular flap with distal de-epithelization can be used to reconstruct large defects of the scapha and augment helical rim volume.
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