Helical advancement with a posterior auricular pull-through flap: A technique for reconstruction of combined helical and scaphal defects

Ear reconstruction after skin cancer resection has traditionally challenged the reconstructive surgeon and many techniques of reconstruction have been published as a testiment to this. With the widespread use of Moh's techniq ue for resection, more tissues are now available after resection, and this has created a new challenge for the reconstructive surgeon-to use creativel y all the remaining tissues and maximize the aesthetics of the ear reconstr uction. This paper demonstrates a one-stage technique for reconstruction of a combined helical and scaphal Moh's defect which utilizes helical advance ment with a posterior auricular skin flap.