BACKGROUND. Due to the ear's complicated anatomy and closely adherent
anterior skin, repairing ear rim defects is often difficult. OBJECTIVE
. We describe a simple postauricular cutaneous advancement flap for co
rrecting ear rim defects of varying sizes. METHODS. Skin tumors involv
ing the ear rims of 12 patients were excised. A postauricular cutaneou
s advancement flap was designed to correct the resulting defects. RESU
LTS. The postauricular cutaneous advancement flap provided excellent c
osmetic results in our 12 patients. Minimal superficial necrosis of th
e flap was observed in one patient. CONCLUSION. Utilizing relatively l
oose postauricular skin, this postauricular advancement flap can cover
helical rim defects of varying sizes with excellent cosmetic results
and low complication rates.