Auricular defects often occur within the context of congenital anomalies, injuries and in particular after surgical excision of benign and malignant tumors. An optimal anatomical reconstruction of the external ear is essential for a successful surgical outcome and contributes significantly to the patient's psychosocial rehabilitation. To cover full thickness auricular defects, we developed the anterior pedicle retroauricular flap. The described flap represents a relatively simple technique for an aesthetically demanding reconstruction of the external ear. Keywords: anterior pedicled retroauricular flap, two step auricular reconstruction