{"id":"https://openalex.org/W7213778669","doi":"https://doi.org/10.7759/cureus.116603","title":"Single-Stage Reconstruction of a Complex Full-Thickness Auricular Defect Following Excision of Rapidly Progressive Squamous Cell Carcinoma in a 100-Year-Old Patient: A Case Report","display_name":"Single-Stage Reconstruction of a Complex Full-Thickness Auricular Defect Following Excision of Rapidly Progressive Squamous Cell Carcinoma in a 100-Year-Old Patient: A Case Report","publication_year":2026,"publication_date":"2026-09-20","ids":{"openalex":"https://openalex.org/W7213778669","doi":"https://doi.org/10.7759/cureus.116603","pmid":"https://pubmed.ncbi.nlm.nih.gov/42903957","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13682705"},"language":"en","primary_location":{"id":"doi:10.7759/cureus.116603","doi":"https://doi.org/10.7759/cureus.116603","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.116603","pdf_url":"https://www.cureus.com/articles/514267-single-stage-reconstruction-of-a-complex-full-thickness-auricular-defect-following-excision-of-rapidly-progressive-squamous-cell-carcinoma-in-a-100-year-old-patient-a-case-report.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.cureus.com/articles/514267-single-stage-reconstruction-of-a-complex-full-thickness-auricular-defect-following-excision-of-rapidly-progressive-squamous-cell-carcinoma-in-a-100-year-old-patient-a-case-report.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5147909846","display_name":"Ludmila Rodrigues Ribeiro da Silva","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2801713311","display_name":"Shriners Hospitals for Children - Galveston","ror":"https://ror.org/01v95tx09","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2801713311","https://openalex.org/I4210144267"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Ludmila Rodrigues Ribeiro da Silva","raw_affiliation_strings":["Burn Reconstructive Surgery, Shriners Hospitals for Children, Galveston, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Burn Reconstructive Surgery, Shriners Hospitals for Children, Galveston, USA","institution_ids":["https://openalex.org/I2801713311"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5147909846"],"corresponding_institution_ids":["https://openalex.org/I2801713311"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.70913724,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"18","issue":"9","first_page":"e116603","last_page":"e116603"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11866","display_name":"Reconstructive Facial Surgery Techniques","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11866","display_name":"Reconstructive Facial Surgery Techniques","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10599","display_name":"Reconstructive Surgery and Microvascular Techniques","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14326","display_name":"Ear and Head Tumors","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/auricular-reconstruction","display_name":"ear reconstruction","score":0.9769999980926514},{"id":"https://openalex.org/keywords/squamous-cell-carcinoma","display_name":"squamous cell carcinoma","score":0.859000027179718},{"id":"https://openalex.org/keywords/single-stage-reconstruction","display_name":"one-stage reconstruction","score":0.7910000085830688},{"id":"https://openalex.org/keywords/elderly-patients","display_name":"elderly patients","score":0.6269999742507935}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9865999817848206},{"id":"https://openalex.org/C3019992690","wikidata":"https://www.wikidata.org/wiki/Q92767510","display_name":"Basal cell","level":2,"score":0.5663999915122986},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.4368000030517578},{"id":"https://openalex.org/C2994460389","wikidata":"https://www.wikidata.org/wiki/Q681817","display_name":"Epidermoid carcinoma","level":3,"score":0.39719998836517334},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.3675000071525574},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3181999921798706},{"id":"https://openalex.org/C2777546739","wikidata":"https://www.wikidata.org/wiki/Q33525","display_name":"Carcinoma","level":2,"score":0.3142000138759613},{"id":"https://openalex.org/C2775934546","wikidata":"https://www.wikidata.org/wiki/Q179991","display_name":"Biopsy","level":2,"score":0.25380000472068787},{"id":"https://openalex.org/C3019814559","wikidata":"https://www.wikidata.org/wiki/Q681817","display_name":"Squamous cell cancer","level":3,"score":0.2418999969959259},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.23909999430179596}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.7759/cureus.116603","doi":"https://doi.org/10.7759/cureus.116603","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.116603","pdf_url":"https://www.cureus.com/articles/514267-single-stage-reconstruction-of-a-complex-full-thickness-auricular-defect-following-excision-of-rapidly-progressive-squamous-cell-carcinoma-in-a-100-year-old-patient-a-case-report.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13682705","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13682705/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13682705/pdf/cureus-0018-00000116603.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Text"},{"id":"pmid:42903957","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42903957","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Case Reports"}],"best_oa_location":{"id":"doi:10.7759/cureus.116603","doi":"https://doi.org/10.7759/cureus.116603","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.116603","pdf_url":"https://www.cureus.com/articles/514267-single-stage-reconstruction-of-a-complex-full-thickness-auricular-defect-following-excision-of-rapidly-progressive-squamous-cell-carcinoma-in-a-100-year-old-patient-a-case-report.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9763000011444092}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7213778669.pdf","grobid_xml":"https://content.openalex.org/works/W7213778669.grobid-xml"},"referenced_works_count":20,"referenced_works":["https://openalex.org/W1610145890","https://openalex.org/W1976743561","https://openalex.org/W1977292050","https://openalex.org/W2028563376","https://openalex.org/W2036342935","https://openalex.org/W2077856989","https://openalex.org/W2081744635","https://openalex.org/W2094053899","https://openalex.org/W2143902340","https://openalex.org/W2171362247","https://openalex.org/W2334768761","https://openalex.org/W2805688412","https://openalex.org/W2900919505","https://openalex.org/W2962962594","https://openalex.org/W4210666576","https://openalex.org/W4237392182","https://openalex.org/W4319871492","https://openalex.org/W4364354263","https://openalex.org/W4387638394","https://openalex.org/W4403306707"],"related_works":["https://openalex.org/W4409272208","https://openalex.org/W4395036502","https://openalex.org/W1996395904","https://openalex.org/W4390449299","https://openalex.org/W7130329447","https://openalex.org/W2318806189","https://openalex.org/W4310959158","https://openalex.org/W1986496399","https://openalex.org/W4205258840","https://openalex.org/W4210666576"],"abstract_inverted_index":{"Auricular":[0],"reconstruction":[1,154],"following":[2],"oncologic":[3],"excision":[4],"remains":[5],"challenging":[6],"because":[7],"of":[8,13,47,79,98,168,171,183,202,235,245,261],"the":[9,14,21,51,72,80,91,99,172,203,237,259],"complex":[10,276],"three-dimensional":[11],"anatomy":[12],"ear,":[15],"limited":[16],"local":[17,164,283],"tissue":[18,165,284],"reserve,":[19],"and":[20,27,76,137,175,198,249,251,265,288,299],"need":[22,52],"to":[23,42,191,294],"preserve":[24,199],"contour,":[25],"projection,":[26,250],"external":[28,252],"auditory":[29,253],"canal":[30,254],"patency.":[31,255],"Large":[32],"full-thickness":[33,145,277],"defects":[34,279],"involving":[35,71,148],"multiple":[36,149],"auricular":[37,48,69,146,185,206,247,267,278],"subunits":[38,151],"are":[39,292],"particularly":[40],"difficult":[41],"reconstruct":[43],"without":[44,210,222],"substantial":[45,95,144],"alteration":[46],"dimensions":[49],"or":[50,56,213,228],"for":[53,274],"cartilage":[54,135,211],"grafting":[55,212],"staged":[57,216],"procedures.":[58],"This":[59,187,256],"case":[60,257],"describes":[61],"a":[62,66,77,105,113,143,158,162,214,270],"100-year-old":[63],"woman":[64],"with":[65,134,180],"rapidly":[67],"progressive":[68],"lesion":[70,106],"right":[73],"helix,":[74],"antihelix,":[75],"portion":[78],"conchal":[81],"bowl.":[82],"Serial":[83],"clinical":[84],"photographs":[85],"obtained":[86],"19":[87],"days":[88,234],"apart":[89],"during":[90],"preoperative":[92],"evaluation":[93],"documented":[94,104],"interval":[96],"progression":[97],"lesion.":[100],"Gross":[101],"pathological":[102],"examination":[103,124],"measuring":[107,116],"4.4":[108,119],"\u00d7":[109,118,120],"3.9":[110],"cm":[111],"within":[112],"surgical":[114,139],"specimen":[115],"5.5":[117],"2.4":[121],"cm.":[122],"Histopathological":[123],"confirmed":[125],"an":[126],"invasive,":[127],"ulcerated,":[128],"well-differentiated":[129],"squamous":[130],"cell":[131],"carcinoma":[132],"(SCC)":[133],"involvement":[136],"negative":[138],"margins.":[140],"Following":[141],"excision,":[142],"defect":[147],"contiguous":[150],"remained.":[152],"Immediate":[153],"was":[155,189,220],"performed":[156],"in":[157],"single":[159],"stage":[160],"using":[161],"three-component":[163],"approach":[166],"consisting":[167],"bidirectional":[169],"advancement":[170],"residual":[173,263],"superior":[174],"inferior":[176],"helical":[177,193,264],"segments":[178],"combined":[179],"anterior":[181],"recruitment":[182],"posterior":[184,266],"skin.":[186],"strategy":[188],"designed":[190],"restore":[192],"continuity,":[194],"provide":[195],"soft-tissue":[196,242],"coverage,":[197,243],"as":[200,208,269],"much":[201],"remaining":[204],"native":[205],"framework":[207],"possible":[209],"planned":[215],"reconstruction.":[217],"Postoperative":[218],"healing":[219],"uneventful,":[221],"flap":[223],"necrosis,":[224],"wound":[225],"dehiscence,":[226],"infection,":[227],"other":[229],"major":[230],"complications.":[231],"At":[232],"76":[233],"follow-up,":[236],"reconstructed":[238],"auricle":[239],"demonstrated":[240],"healed":[241],"maintenance":[244],"overall":[246],"contour":[248],"illustrates":[258],"feasibility":[260],"combining":[262],"tissues":[268],"single-stage":[271],"reconstructive":[272],"option":[273],"selected":[275],"when":[280],"adequate":[281],"viable":[282],"remains.":[285],"Longer":[286],"follow-up":[287],"objective":[289],"postoperative":[290],"measurements":[291],"needed":[293],"assess":[295],"long-term":[296],"dimensional":[297],"stability":[298],"durability.":[300]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-09-21T00:00:00"}