Reconstruction of marginal ear defects with modified chondrocutaneous helical rim advancement flaps

This modified chondrocutaneous advancement flap involves excision of anterior scaphal ear skin and cartilage to reduce the length of helical rim advancement necessary to reestablish the helix contour. This may allow the single-stage, immediate, or delayed reconstruction of large helical rim defects that extend beyond the helical rim. Very acceptable aesthetic results can be achieved with modest auricular shape and size deformities. This technique should be considered in the reconstructive armamentarium of marginal ear defects.