Helical Rim Advancement Flap and Its Implication in the Skin Cancer of the Auricle: A Case Report

A 76-year-old male presented to our department with a neoplastic growth on his left auricle.

The patient was referred from another hospital because he was very concerned about the cosmetic outcome. He had been refused an extensive plastic intervention due to his age and comorbidities. Clinical examination revealed a 1.3 × 1.4 cm ulcerative growth on the upper left ear helix. After the total excision of the lesion, malignant squamous cell carcinoma was diagnosed under frozen sections. A helical rim advancement flap was recruited to achieve the best possible reconstructive outcome.

Surgery for auricle malignancies may be performed in one stage without prior biopsy if frozen sections are positive in highly suspicious cases. Aesthetic outcomes should be considered for every patient, regardless of gender or age.