Ear reconstruction: Novelty in drain placement

Ear reconstruction for microtia is an intriguing surgery in terms of clinical skill and dexterity for plastic and reconstructive surgeons. Apart from proper ratios and detailed carving of cartilage framework, the overlying skin is utmost important for the final outcome of reconstruction. A good outcome needs adherence of the skin flap and cartilaginous framework, for which purpose suction drains are used during the surgery. By creating a negative pressure, suction drains promote adherence of skin flap and cartilage framework and removes the seroma and hematoma. Usually surgeons put two drains through the infra auricular skin one behind and other beneath the cartilaginous framework. Herein, we put forward our idea of putting the drains through the hair bearing areas of the scalp so as to avoid visible postoperative visible scars.