The use of two pedicled skin flaps in the surgical treatment of acquired atresia of the outer ear canal.

Surgical treatment of acquired atresia of the outer ear canal remains in some cases troublesome. Based on previous experience, we have refined the existing surgical technique to obtain better results. In four patients we used two pedicled skin flaps for the treatment of total mature post-inflammatory atresia of the outer ear canal. We raised two well-vascularized pedicled skin flaps with the distal 1.5-2 cm thinned to the level of a full-thickness skin graft. All patients showed complete primary healing with stable coverage and near to complete air-bone gap closure.