Reconstruction of the middle third auricular defects

A variety of reconstructive methods exist for defects involving the middle third of the auricle. Depending on the specific 3-dimensional characteristics of a defect, local flaps involving the rearrangement of adjacent tissues are oftentimes effective and esthetically favorable procedures. In this article we describe 2 techniques for reconstructing defects of the middle third of the auricle: the pedicled postauricular interpolation flap and single- or bipedicled chondrocutaneous composite advancement flaps.