Acquired defects of the ear can present a challenge for the reconstructive surgeon. Various methods have been described for all parts of the ear. We report here a simple local flap technique for the reconstruction of segmental defects of the helical rim.

To reconstruct a 2 centimeter defect of the helical rim, acquired after local resection for chondritis performed at an outside instutition, we developed a bipedicle flap with advancement of posterior auricular skin. Burow's triangles were excised at the base of the flap on the posterior surface to facilitate asymmetrical advancement. At the completion of flap advancement, the helical rim was adequately reconstituted. On follow up exam, the helical rim had maintained its contour with an aesthetically pleasing result, and the patient's pain was resolved as well.

This simple bipedicled advancement flap may be applied to rebuild the helical rim following segmental resection for cutaneous malignancies.