One hundred and fifty-eight patients with congenital microtia and atresia were treated with simultaneous total ear reconstruction and hearing rehabilitation including meatoplasty, tympanoplasty as well as fenestration. Using this operation, the authors have reconstructed 160 auricles and simultaneously restored their auditory function. After the operation, the hearing gain reached 20-45 dB in 132 cases (82.5%). The success rate of the reconstructed ear was 158/160 (98.2%). Most of the reconstructed ears were of excellent appearance.