{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T19:37:56Z","timestamp":1791833876389,"version":"4.3.4"},"reference-count":65,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Facial Plast Surg"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The auricle is susceptible to various injuries due to its location and projection from the scalp. The unique contours of the external ear makes reconstruction a challenging endeavor. This chapter provides a comprehensive overview of auricular reconstruction, based on the depth, location, and size of injury. Strategies for reconstructing superficial, composite, and full-thickness injuries are discussed in relation to the location of the defect. Targeted reconstructive options for injuries of the upper, middle, and lower thirds of the auricle are outlined. Methods for total auricular reconstruction and auricular prosthesis are discussed. Options for managing traumatic injuries are reviewed, including avulsion\/amputation injuries, burns, electrical injuries, frostbite, and human\/animal bites. This chapter provides a practical framework for surgeons faced with complex auricular defects, offering insights to recreate a discreet, harmonious ear.<\/jats:p>","DOI":"10.1055\/a-2437-1107","type":"journal-article","created":{"date-parts":[[2024,10,10]],"date-time":"2024-10-10T11:44:40Z","timestamp":1728560680000},"page":"212-226","source":"Crossref","is-referenced-by-count":7,"title":["Auricular Reconstruction"],"prefix":"10.1055","volume":"41","author":[{"given":"Keerthi E.","family":"Kurian","sequence":"additional","affiliation":[{"name":"California Northstate University College of Medicine, Elk Grove, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel L.","family":"Oyer","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, University of Virginia, Charlottesville, Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen S.","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, University of Virginia, Charlottesville, Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,10,29]]},"reference":[{"issue":"05","key":"ref1","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1097\/01.sap.0000155284.96308.32","article-title":"Psychosocial outcome of patients after ear reconstruction: a retrospective study of 62 patients","volume":"54","author":"N Horlock","year":"2005","journal-title":"Ann Plast Surg"},{"issue":"08","key":"ref2","doi-asserted-by":"crossref","first-page":"1424","DOI":"10.1016\/j.bjps.2020.03.025","article-title":"Auricular reconstruction: a sociocultural, surgical and scientific perspective","volume":"73","author":"T H Jovic","year":"2020","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"ref3","first-page":"432","volume-title":"Otoplasty","author":"E T Carniol","year":"2021","edition":"7th ed."},{"issue":"04","key":"ref4","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1055\/s-0031-1288916","article-title":"Partial auricular reconstruction","volume":"25","author":"B B Armin","year":"2011","journal-title":"Semin Plast Surg"},{"issue":"04","key":"ref5","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1016\/S1064-7406(23)00287-0","article-title":"Local flaps in auricular reconstruction","volume":"5","author":"M L Cheney","year":"1997","journal-title":"Facial Plast Surg Clin North Am"},{"issue":"02","key":"ref6","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1016\/S0094-1298(20)31238-4","article-title":"Anthropometry of the normal and defective ear","volume":"17","author":"L G Farkas","year":"1990","journal-title":"Clin Plast Surg"},{"issue":"03","key":"ref7","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1016\/S0094-1298(20)32137-4","article-title":"Artistic anatomy, dimensions, and proportions of the external ear","volume":"5","author":"H Tolleth","year":"1978","journal-title":"Clin Plast Surg"},{"issue":"03","key":"ref9","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1016\/j.fsc.2009.05.006","article-title":"Ear defects","volume":"17","author":"D C Shonka Jr","year":"2009","journal-title":"Facial Plast Surg Clin North Am"},{"key":"ref10","first-page":"3738","volume-title":"Otoplasty: anatomy, embryology, and otoplasty technique","author":"E H Farrior","year":"2022","edition":"6th ed."},{"issue":"04","key":"ref11","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1016\/S0030-6665(05)70015-3","article-title":"Auricular reconstruction","volume":"34","author":"S S Park","year":"2001","journal-title":"Otolaryngol Clin North Am"},{"issue":"01","key":"ref12","doi-asserted-by":"crossref","first-page":"e87","DOI":"10.1097\/SCS.0000000000002891","article-title":"External auditory canal stenosis after traumatic auricular amputation","volume":"28","author":"J ERE Wong Chung","year":"2017","journal-title":"J Craniofac Surg"},{"key":"ref13","first-page":"161","volume-title":"Maxillofacial and soft tissue trauma","author":"J L Frodel","year":"2005"},{"key":"ref14","volume-title":"Complex Ear Lacerations","author":"C H Williams","year":"2024"},{"key":"ref15","first-page":"269","volume-title":"Facial trauma: soft tissue lacerations and burns","author":"J D Hill","year":"2021","edition":"7th ed."},{"key":"ref16","first-page":"21","volume-title":"Chapter 3 - 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Baudet","year":"1972","journal-title":"Ann Chir Plast"},{"issue":"02","key":"ref38","doi-asserted-by":"crossref","first-page":"59","DOI":"10.4103\/2452-2473.342811","article-title":"Auricular avulsion injuries: literature review and management algorithm","volume":"22","author":"M A Al-Ali","year":"2022","journal-title":"Turk J Emerg Med"},{"issue":"03","key":"ref39","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1002\/lio2.372","article-title":"Auricular avulsion injuries and reattachment techniques: a systematic review","volume":"5","author":"A D Gailey","year":"2020","journal-title":"Laryngoscope Investig Otolaryngol"},{"issue":"05","key":"ref40","first-page":"408","article-title":"[Reconstruction of the burned ear]","volume":"56","author":"F Firmin","year":"2011","journal-title":"Ann Chir Plast Esthet"},{"issue":"02","key":"ref41","doi-asserted-by":"crossref","first-page":"e3058","DOI":"10.1097\/GOX.0000000000003058","article-title":"New concept for severely burned ear 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Chan","year":"1990","journal-title":"Injury"},{"issue":"08","key":"ref49","doi-asserted-by":"crossref","first-page":"1223","DOI":"10.1288\/00005537-197108000-00005","article-title":"Frostbite of the ear","volume":"81","author":"D G Sessions","year":"1971","journal-title":"Laryngoscope"},{"issue":"03","key":"ref50","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1016\/j.coms.2021.04.006","article-title":"Management of human and animal bites","volume":"33","author":"J Murphy","year":"2021","journal-title":"Oral Maxillofac Surg Clin North Am"},{"issue":"05","key":"ref51","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1016\/S0278-2391(97)90695-9","article-title":"A study of primary closure of human bite injuries to the face","volume":"55","author":"P Donkor","year":"1997","journal-title":"J Oral Maxillofac Surg"},{"issue":"06","key":"ref52","doi-asserted-by":"crossref","first-page":"795","DOI":"10.1016\/S0194-59980300254-7","article-title":"Treatment and outcome of 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Liao","year":"2019","journal-title":"Laryngoscope"},{"issue":"01","key":"ref60","doi-asserted-by":"crossref","first-page":"35","DOI":"10.2217\/3dp-2017-0017","article-title":"Auricular reconstruction from rib to 3D printing","volume":"2","author":"C L Reighard","year":"2018","journal-title":"J 3D Print Med"},{"issue":"02","key":"ref61","doi-asserted-by":"crossref","first-page":"541","DOI":"10.1007\/s00405-021-06903-5","article-title":"Auricular reconstruction: where are we now? 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