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Updated: Jul 5, 2026
Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
[Correction of cryptotia with the square skin flap]
Jing-Hong Xu1, Wei-Qiang Tan, Wei-Hua Wu
1Department of Plastic Surgery, First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.
Objective:
To investigate the feasibility of square skin flap for the correction of cryptotia.
Methods:
From 2001 to 2004, 9 cases (15 sides) with cryptotia were treated with square skin flaps. The upper part of the auricle was distracted from behind the scalp. Based on the Hyakusoku square flap method, 2 triangle flaps and one square flap were designed on the upper part behind the auricle. The flaps were elevated and auricular muscles were released. Then the flaps were transferred.
Results:
All the flaps survived completely with good wound healing. The patients were followed up for 3 months to 2 years with satisfactory aesthetic and functional results.
Conclusions:
The square flap is suitable for mild and moderate cryptotia, which provides enough tissue for reconstruction of auriculocephalic sulcus. The method is easily performed with good result and minor donor stie morbidity.