Summary: Cartilage framework exposure during total ear reconstruction requires an early salvage procedure and arrow parts a secure coverage.We present a case that has been successfully covered by a retro-auricular fascia flap and a 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 Ice Cream Spades occipital artery for an enhanced 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.