<p>The Rhomboid rotational flap can be used to close the defects almost anywhere on the body. It is versatile, in that a random pattern flap can be raised from any one or all corners of the rhomboid. The defect is filled with tissue of the same thickness, colour and with good vascularity. The purpose of this study is to demonstrate the versatility that a single flap can be used to close defects after excision of preauricular sinus with recurrent infection with an unsightly scar. Prospective observational study were done on eight patients with preauricular abnormalities. Preauricular sinus managed with either simple excision by primary closure or with rhomboid rotational flap when there is a large tissue defect after excision of primary lesion along with unsightly scar. Total of eight patients were included in the study between 2022 and 2024, who were diagnosed clinically with preauricular abnormalities and were followed upto six months after surgical excision with or without rhomboid flap closure. Out of eight patients, four patients underwent simple excision with primary closure and remaining four patients were managed with rhomboid rotational flap closure after excision of primary lesion along with unsightly preauricular scar. All the four patients who underwent closure of the defect with rhomboid flap had good cosmetic outcome after six months of followup. No one had wound gaping, wound infection or flap necrosis in the immediate postoperative period.</p>