Ear helix flap for reconstruction of total loss of the upper eyelid

We present a patient with a recurrent carcinoma of the:right upper eyelid w ho underwent resection of the subtotal upper eyelid resulting in a full-thi ckness defect. The eyelid was reconstructed with advanced conjunctival lini ng and an ascending helix chondrocutaneous flap from the right auricle. Thi s flap was nourished with a reverse flow of the frontal branch of the super ficial temporal vessels. A superficial temporal vein of the nap was anastom osed to the zygomaticofacial branch of the superficial temporal vein at the lateral canthal region to ensure adequate drainage. The flap survived with out any congestion. An ascending helix flap is the best candidate for total loss of the upper eyelid.