Abstract: Objective: The clinical effect of thinning flap from scar for repairing helix keloid. Methods: From August 2018 to December 2021, 14 cases of helix keloid in our department were selected. All of them were repaired with thinning flap from scar. After suturing, the incision line was placed on the convex surface of the auricle. The healing and auricle shape of the patients were observed to evaluate the curative effect. Results: All the flaps survived and the incisions healed in the first stage. No incision line was found in the frontal view of the ear, the incision line was hidden, and the ear outline was beautiful. No deformation of auricle was found. Conclusion: Thinning flap from scar can repair the helical keloid with concealed incision and beautiful auricle appearance.

Key words: helix, keloid, thinning flap from scar