Abstract
Plastic surgical reconstruction is considered to be the gold standard for the repair of microtia as the results are permanent and constructed from the patient's own tissue; however, the multiple surgeries required and the difficulty in attaining adequate cosmetic results often result in patients choosing a prosthesis as a long-term rehabilitation. Advances in osseointegration in the craniofacial region have improved the outcomes with auricular prosthetics by providing a reliable method of attachment of the prosthesis and increasing patient acceptance. A case presentation illustrates the results of both treatment modalities and examines the outcomes on the same patient.