Background: The importance of the external ear is both cosmetic and functional. As part of the facial framework, the ear is highly visible and vulnerable to thermal injury. The burned auricle, whether manifesting as a partial deformity or complete loss of the external ear, poses a significant reconstructive challenge.
Purpose: In this article, we review established techniques and new frontiers in ear reconstruction. Furthermore, we describe the challenges faced when approaching the burned ear.
Method: We have performed a literature search and have discussed the pros and cons of various methods of ear reconstruction.
Conclusions: Reconstructing the burned ear presents a significant challenge, even in the hands of an experienced surgeon. No one modality will work in all situations; therefore, a range of options should be weighed after the tissue deficit has been defined. Surgeon preference and availability of local tissue are the most important variables.