A person may have a reconstructed ear and find that the results are unsatisfactory, whether it is from a prior rib graft or synthetic (Medpor) framework. This has posed a significant problem for the ear reconstruction surgeon for decades. Techniques for secondary reconstruction are limited due to scarring and limited blood supply. Traditional techniques have largely developed from modifications for primary reconstruction and reconstruction for trauma and burns. Generally, these are extensive operations that use tissue flaps and grafts that are not typically used in a primary reconstruction. The technique using the existing tissue envelope, for many, has been found to be successful for secondary ear reconstruction. Essentially, the same tissues from the original ear are used with some modifications of prior techniques.

The procedure for secondary ear reconstruction or revision surgery is always unique to the individual patient. Typically the existing tissue is optimized to accept a new rib graft framework. Once the rib graft is carved and placed, similar to a primary reconstruction, the ear is evaluated for any subsequent stages needed to complete the process. Some patients require only a few stages, others may require more. Each patient’s ear is a different challenge. This technique has decreased the need for the extra scars that may be anticipated with traditional secondary ear reconstruction.