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
Further Information

Publication History

Publication Date:
09 May 2003 (online)


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.