| Objective Design individual auricular reconstruction method according to patients' different characteristics and conserve sufficient tissues to prevent and treat complications by comparing the clinical application and efficacy of different auricotemperal pedicle fascial flap. Method There were 56 cases of congenital microtia and secondary auricular defect patients in our department during 2004-2009. According to the area and texture of retroauricular unhaired skin and the size of opposite ear, we performed the auricular reconstruction by designing different pedicle fascial flaps depending on the auricotemperal blood supply, with or without expanded skin wrapped. We repaired the reconstituted auricular complication by the remained fascial flap. While the different random operation methods were performed to the patients during 2000-2003. Result For the 16 patients in 2000-2003, there were 11 patients with auricular reconstruction using expanded mastoid skin, 3 patients with one-stage auricular reconstruction using retroauricular skin flap and 2 patients with one-stage auricular reconstruction using temperal fascial flap. The total satisfactory rates were 56.25%. While for the 56 patients in 2004-2009,there were 39 patients with auricular reconstruction using mastoid expanded skin, 9 patients with one-stage auricular reconstruction using retroauricular skin flap and 8 patients with one-stage auricular reconstruction using temperal fascial flap. The total satisfactory rates were 89.29%. Conclusion For the patients with sufficient mastoid skin and who will choice the mastoid skin expanding method, the auricular reconstruction with costal cartilage wrapped by retroauricular fascial flap is preferred. While for the patients with insufficient mastoid skin or who won't chose the costal cartilage method, the auricular reconstruction with Medpor framework wrapped by temperal fascial flap is preferred, which is not usually as the first choice.
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