Technique of total ear reconstruction with open framework, composite pseudomeatus graft, and postauricular transposition flap.

Modifications of Tanzer's technique of total reconstruction of the auricle are described, emphasizing the construction of a deep conchal cavity and pseudomeatus, with ample projection of the auricle. To obtain a more prominent projection of the auricle, a transposition flap from retroinfra-auricular skin is used, with placement of small cartilage props beneath the framework. The depth of the conchal cavity is enhanced by excavation of soft tissues and placement of an additional cartilage graft at the posterior wall of the choncha. The external meatus is imitated by a cone-shaped composite graft taken from the cymba of the opposite ear.