Abstract
Skin grafting the ear has its challenges, when skin loss has occurred, an adequate vascular bed for the graft is often missing, which leads to decreased uptake success.1,2 As a result, it is common practice for advancement flaps to be performed to allow adequate coverage of exposed cartilage,3 or for sacrifice of the underlying cartilage to allow primary closure despite the resultant compromised aesthetics. Two-staged reconstruction of the ear has been well documented with a tubed full thickness skin graft,2 however this is most suitable when the defect is larger and the cartilage is not acutely exposed.
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