ABSTRACT

Introduction Acquired ear deformities are usually the result of trauma, burns, or ablative skin

cancer operations. Reconstruction of these deformities is primarily an aesthetic en­ deavor. Nevertheless, seemingly minor deformities can cause significant patient anxi­ ety and concern. Auricular deformities can be divided into defects of the helical rim, upper third, middle third and lower third of the ear. Defects o f the upper ear com­ plicate the use of eyewear, but they are more easily camouflaged by hair. Defects of the lower ear are harder to hide and thus, more aesthetically important. Unfortu­ nately, these defects are also the hardest to reconstruct well. Despite many variations in ear anatomy, there are several consistent landmarks shown in Figure 30.1.