Aesthetic Reconstruction of the Auricle

The external ear poses a unique reconstructive challenge due to its intricate surface topography and conspicuous location. Successful auricular repair depends on meticulous restoration of several anatomic parameters that critically contribute to the aesthetic balance of the ear. Re-establishment of proper physical dimensions, smooth external contour, and complex surface landmarks plays a key role in ensuring satisfactory outcomes. Noticeable deviations in auricular appearance may directly lead to psychosocial morbidity in both children and adults [1]. Acquired auricular deformities most commonly result from a variety of traumatic injuries and following Mohs’ extirpation of cutaneous malignancies. Numerous reconstructive options are available, ranging from healing by secondary intention to replacement with total auricular prostheses. A choice of repair ultimately depends on patient factors, amount of soft tissue loss, and location of the auricular defect.