OBJECTIVE: To present our 6-year experience in flat helix correction with a simple procedure. Among the many different congenital ear deformities lies the flat helix. The correction of this anomaly must be considered owing to its significance to the overall shape and appearance of the auricle. METHODS: Our surgical method is based on a geometrical approach, with radiating beveled incisions of the helical cartilage and subsequent overlapping and suturing of small triangular cartilaginous flaps. The method was applied in 15 patients over 6 years and was combined with correction of prominent ears in 9 cases. RESULTS: Curling of the helix was achieved in all cases. A step deformity detected in 2 initial cases led to minor technique modification. No recurrences were recorded during the follow-up period (mean follow-up, 32 months). All patients were satisfied with the aesthetic outcome. CONCLUSIONS: The method applied is a relatively simple and reliable procedure that allows the restoration of the curvilinear shape of the helix. It can be performed under local anesthesia (along with any other procedure that a prominent ear may require), causes no visible scars, and delivers consistently effective results.
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