What question did this study set out to answer?

To present a novel reconstruction technique for total auricular restoration in patients with scalp avulsion injuries.

February 21, 2026Clinical Case Reports1 citationsOpen Access

Three‐Stage Prelaminated Radial Forearm Flap for Total Auricular Reconstruction Following Scalp Avulsion Injury

Key Points

To present a novel reconstruction technique for total auricular restoration in patients with scalp avulsion injuries.
Implemented a three-stage reconstruction process using a prelaminated radial forearm flap.
Expanded forearm tissue through a 200-mL expansion procedure.
Inserted an autogenous costal-cartilage framework and allowed for maturation before transfer.
The neo-auricle achieved symmetric contour and color match within 6 months.
Defined helix and anti-helix were observed post-surgery.
No complications such as infection or cartilage resorption were reported.

Abstract

ABSTRACT Loss of mastoid skin and temporoparietal fascia after complete scalp avulsion precludes conventional ear reconstruction. We report a total auricular reconstruction using a remote, prelaminated radial‐forearm flap. A 42‐year‐old woman with prior scalp avulsion and right ear amputation underwent (1) 200‐mL forearm expansion, (2) autogenous costal‐cartilage framework insertion and maturation, and (3) free transfer to the mastoid area anastomosed to the preserved proximal superficial temporal vessels. At 6 months the neo‐auricle showed symmetric contour, color match, and defined helix/anti‐helix; the donor forearm retained full wrist motion. No infection, minimal exposure, or cartilage resorption occurred. Remote, prelaminated radial‐forearm flap auricular reconstruction provides a reliable benchmark for ear restoration when all local options have been exhausted.

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