This paper reports the finding of the superior auricular artery, which
is a fairly large arterial branch, about 1 mm in diameter, arising fr
om the superficial temporal artery anterior to the auricular helix. It
is covered by skin, the anterior auricular muscle, and the fascia of
the parotid gland. It runs together with its concomitant vein posterio
rly in the groove between the cartilage of the ear and the temporal bo
ne and anastomoses with the posterior auricular artery. This artery ha
s been used successfully to raise large retroauricular arterial island
flaps for one case of total nose reconstruction and seven cases of re
construction of the severely constricted anophthalmic socket. These op
erative procedures are described in detail.