Background: Auricular deformity is a major problem and topic of interest since ancient history. The methods of repair have similar basis, but modifications through centuries led to improve the outcome and avoid recorded complications. The shape and variation of auricle size made reconstruction of auricle a challenging process, and meticulous planning and delicate surgery must be provided to redecorate the distrusted auricle.

Objectives: To assess the outcome of auricular defect reconstruction in Sudanese patients. 

Patients and Methods: Cross-Sectional, Multi-centric study Khartoum – Sudan. Eighty patients who underwent auricular reconstruction during the period from 2021 to 2022 were included. All patients of auricle defects of different age groups of various aetiologies were included, while those who have congenital deformities and victims of burn have been excluded. 

Results: Out of eighty patients 57.5% were females, and 42.5% were males. The aetiology of auricular deformity in majority 55% was trauma, 36.3% was keloid, 3.8% was malignancy, and only 2.5% was due to piercing. According to site of deformity, right ear was involved in 46.3% of patients, left ear in u43.8%, and 10% were bilateral. Surgery in 35% of patients were immediate, while in 65% were delayed.  Primary repair was used in 40%, followed by intralesional excision in 36.3% and local regional flap in 16.3 %. Visual satisfaction was excellent in 22.5%, acceptable in 42.5%, and poor in 5%. Majority of patients didn’t develop any complications. 

Conclusion: Acquired auricular defects are a major problem, disrupting the aesthetic component of the face of substantial number of population. Also the results of our study are consistent with those reported in the literature. In future local and national studies should be performed, and accordingly protocols and guidelines should be instituted, so that this problem can be managed properly.