ABSTRACT
Auricular reconstruction is a unique area of facial plastic surgery where a wide array
of reconstructive options often must be considered. The external ear is unique in
its aesthetic role where the normal auricle often goes unnoticed; yet even a small
irregularity can stand out and become conspicuous. The reconstruction of large or
total auricular defects is a combination of science and art. Two forms of auricular
reconstruction are discussed: (1) those for a congenitally abnormal shape but no acquired
tissue deficiency, that is, otoplasty, and (2) repairs requiring a reconstruction
of discrete loss of tissue. A general algorithm is presented that can assist with
flap selection and covers the techniques for grafts, framework repair, local and pedicled
flaps, temporoparietal facial flaps, and auricular prostheses.
KEYWORDS
Auricular defects - auricular reconstruction - prominent ears - otoplasty - microtia
- auricular prosthesis
