BlueCross BlueShield of Tennessee Medical Policy Manual

Otoplasty and External Ear Reconstruction


External ear reconstruction is typically performed to correct deformities and/or defects of the exterior ear caused by congenital malformation, accident or disease.  These deformities may or may not cause hearing loss.

Otoplasty is a surgical cosmetic procedure performed to correct protruding of the ear with or without size reduction.  This procedure may be performed on adults or children whose ears have reached full size, usually around five to six years of age.




American Academy of Facial Plastic and Reconstructive Surgery. (2016). Ear surgery. Retrieved March 22, 2016 from

Braun, T., Hempel, J.M., & Berghaus, A. (2014). Developmental disorders of the ear in children and adolescents. Deutsches Arzteblatt International, 111 (6), 92-98. (Level 2 evidence)

British Association of Plastic Reconstructive and Aesthetic Surgeons. (2016). Ear Surgery. Retrieved March 22, 2016 from

Li_C., Dai, P., Yang, L., & Zhang, T. (2015). A meta-analysis of the long-term hearing outcomes and complications associated with atresiaplasty. International Journal of Pediatric Otorhinolaryngology, 79 (6), 793-797. Abstract retrieved March 22, 2016 from PubMed database.

National Institute for Health and Care Excellence. (2012, March). Incisionless otoplasty. Retrieved March 9, 2015 from

Pawar, S., Koch, C. and Murakami, C. (2015, Nov-Dec) Treatment of prominent ears and otoplasty: a contemporary review. JAMA Facial & Plastic Surgery, 17(6), 449-54. Abstract retrieved January 17, 2018 from PubMed database.




Policies included in the Medical Policy Manual are not intended to certify coverage availability. They are medical determinations about a particular technology, service, drug, etc. While a policy or technology may be medically necessary, it could be excluded in a member's benefit plan. Please check with the appropriate claims department to determine if the service in question is a covered service under a particular benefit plan. Use of the Medical Policy Manual is not intended to replace independent medical judgment for treatment of individuals. The content on this Web site is not intended to be a substitute for professional medical advice in any way. Always seek the advice of your physician or other qualified health care provider if you have questions regarding a medical condition or treatment.

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