Helix rim advancement for reconstruction of marginal defects of the pinna

Helical rim defects commonly result from excision of neoplasms or from inju ry. Various techniques for reconstruction of such defects have been describ ed. The wedge excision technique that is commonly described in texts causes but terfly deformity, webbing and cupping of the pinna and the authors believe that it should be abandoned. Helix rim advancement flaps were first describ ed 30 years ago and offer a simple and versatile method for reconstruction with excellent cosmetic results. Line drawings and photographs show the operative sequence and the end resul ts of such flaps.