Figure 6: a) Squamous cell carcinoma of the back of the auricle. b) Intra-operative situation after tumour resection. The periosteum could be preserved. c) Subperiostal positioning of an Epiplating auricular plate. Parotidectomy and neck dissection have been performed. d) The periostal flap is folded back and perforated in the area of the tapped holes. e) A split thickness skin transplant is covering the periosteum.