Abstract: Objective To explore the technique of Two-stage ear reconstruction for microtia.Methods Ear reconstruction was done using the "two-flap" technique and autogenous rib cartilage framework in the first stage.Almost all fine structures of ear,such as the crus,the tragus and the conchal cavity were reconstructed in the second stage.Results Seventy one patients of microtia underwent auricular reconstruction mainly by Two-stage ear reconstruction.All patients were followed up for 6 months-3 years after surgery.The colour of the reconstructed ears was in harmony with the facial skin;cartilage framework had no absorption and deformation.The reconstructed ears had excellent and three-dimensional contour and the cranio-auricular angle of the reconstructed ears bear strong resemblances to the opposite ears.Conclusion Two-stage ear reconstruction was a simple method with few complications and could be easily mastered.

Key words: Congenital microtia, Auricle reconstruction, Preauricular skin flap, Fascial flap, Cartilage framework