Page 10 - PowerPoint Presentation

Autologous Reconstruction

Nagata Two-stage

Reconstruction

 Second stage

 6 months after first stage

 Elevation of reconstructed ear from posterior to
recreate the retroauricular sulcus

 Requires a projection block, temporoparietal
fascial flap and skin graft

Pre-operative planning. The Projection block Temporoparietal fascial flap
course of the superficial carved. (TPFF) raised based on
temporal artery (STA) is marked superficial temporal artery and
in dotted line. vein.

TPFF delivered to postauricular TPFF was covered by PTSG. Retroauricular sulcus
wound via subcutaneous recreated.
tunnel. Projection block
placed behind ear, covered
by TPFF. Partial thickness skin
graft (PTSG) harvested.