Reconstrução Parcial do Pavilhão Auricular - Nova Técnica num Único Tempo

Auricular reconstruction after traumatic ear loss remains a challenge in Otolaryngology and Facial Plastic Surgery. The variety of techniques described in literature shows the intrinsic difficulty of reconstructing a structure with such a delicate architecture. In this work we propose a new single-stage reconstructive technique of a partially avulsed ear. We present a case of a 23-year-old male individual, victim of aggression, who sustained a human bite that resulted in the avulsion of the upper third of the right ear, without preservation of the amputated portion. Three months after the injury, the patient underwent reconstructive surgery. The reconstruction of the lateral wall of the auricle was achieved with a composite graft from contralateral auricular concha. A postauricular advancement flap provided the skin to cover the medial aspect of the ear defect. Two months after surgery, a favorable cosmetic result, keeping the symmetry between the ears, was obtained, with patient satisfaction.