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Facial Plast Surg 2003; 19(1): 053-074
DOI: 10.1055/s-2003-39129
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Surgery of the Auricle

Tuan V. Pham, Stephen V. Early, Stephen S. Park
  • Department of Otolaryngology-Head and Neck Surgery, University of Virginia Health System, Charlottesville, VA
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Publication History

Publication Date:
09 May 2003 (online)

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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