According to the contour of the external ear, the skin of the posterior margin was cut, and the flap which was 1 wider than the flap in the same position was pulled up. A 5~2cm fascia flap was implanted between the two flaps to form a 45-degree cranioauricular angle. Skin transplantation and postoperative wound management are the same as above. You can also cut 8~9cmx7~8cm superficial temporal fascia island flap in the temporal area, wrap the auricle bracket, transplant full-thickness or medium-thickness flap, and wrap it after shaping. This method is suitable for abnormal position of residual ear, shallow hairline, skin loss in ear area, acquired total ear defect and scar in mammary sinus area behind ear.

Matters needing attention: According to different methods, choose the surgical incision and the treatment of residual ear to ensure the survival of local skin flap. The residual ear can be treated in one stage or finally, if there is no contradiction.

|||||||| Tissue expander method: 60~ 100ml semilunar expansion sac was buried in the normal skin peeling cavity behind the ear or the hairline above the ear, and the wound surface was expanded according to the conventional method after healing 1~2 months. Take out the dilator and remove the capsule formed around the expansion sac on the flap. Cover the prepared auricle bracket with skin flap. If there is a residual wound behind the auricle, full-thickness or medium-thickness skin graft must be planted for fixation, suture and shaping, or continuous pressure suction should be placed under the skin flap to make the skin flap fit the stent, and it should be taken out after 3 days, and then wrapped with gauze for 7~ 10 days. After 3 months, the residual ear was transferred for earlobe reconstruction. This method is suitable for hairline arc and residual ear arc, without ear deformity, tight skin and failure of ear reconstruction.

|||||| is a deformity caused by the adhesion of part or most of auricular cartilage to the cranial lateral wall. The auricle is flat on the cranial side, and there is no cranial ear groove. The development of auricle cartilage is generally good. The operator is required to separate the adhesion, put the auricle in the normal position, and form a v-y push flap, Z plasty or full-thickness skin graft behind the ear. Place the model to prevent the cranial ear groove from retracting.