Chondrocutaneous Advancement Flap for the Marginal Defect of the Ear

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Abstract
Three cases of partial defect of the helix reconstructed by an advancement of the chondrocutaneous helical flap are presented. The operative technique employed in these cases is described. The principle underlying the operative procedure is that of advancement of the adjacent, intact helical margin as a flap based on a wide postauricular skin pedicle. The defect is in fact transferred to the extensile lobule. The reconstructed helix is more consistent with the architecture of the normal ear than when repair has been accomplished by some of the other methods proposed. Safety is combined with economy of tissue and time.

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