Evaluation of Techniques and Outcomes in Pediatric Partial Ear Reconstruction

At our institution, large partial ear defects require comprehensive discussions with patients and families regarding optimal approaches while addressing individual priorities and limitations. Our evolved structural approach using autologous costal cartilage reconstruction demonstrated reliable outcomes in large pediatric partial ear defects of any indication (congenital or acquired). We consider TPFF early in traumatic scenarios that have missing or poor-quality skin, or congenital presentations where skin is tethered, fixed, or unable to fully unfurl.