Fenestration of auricular cartilage to expedite secondary intention healing

After removal of skin lesions including carcinomas, surgery of the external ear repair provides a challenge to the surgeon anatomically and physiologically. The auricular cartilage has minimal vascularity and creates a convoluted physical conformation. Primary closures and grafts performed on surgical ear defects are difficult to design and execute. Fenestration of the auricular cartilage creates a rich vascular bed that aids in healing by secondary intention or graft uptake. The present article illustrates how to perform the above-mentioned surgical technique.