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Cryptotia correction--the post-auricular transposition flap.

D Marsh1, W Sabbagh, D Gault

  • 1Department of Plastic Surgery, Royal Free Hospital, London NW3 2YP, UK. mrdjmarsh@yahoo.com

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|July 22, 2011
PubMed
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This study presents a V-shaped post-auricular flap technique for correcting cryptotia, a congenital ear deformity. The method offers a simple, effective solution with hidden scars and no need for skin grafts, achieving satisfactory results in 20 patients.

Area of Science:

  • Plastic Surgery
  • Congenital Deformities
  • Otolaryngology

Background:

  • Cryptotia is a congenital ear deformity characterized by the upper pole being buried under mastoid skin.
  • This condition requires surgical correction to restore normal ear anatomy.
  • Existing surgical methods have varying degrees of success and potential complications.

Purpose of the Study:

  • To describe a novel surgical technique for cryptotia correction using a V-shaped post-auricular flap.
  • To evaluate the efficacy and safety of this technique in a cohort of patients.
  • To compare the outcomes with existing surgical approaches for cryptotia.

Main Methods:

  • A superiorly based V-shaped flap was raised from the post-auricular skin in 20 patients (24 ears) aged 4-19 years.

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  • The flap was rotated into the defect after ear release, and the donor site was closed directly.
  • All surgeries were performed by senior authors, with a mean follow-up of 2.1 years.

    • Main Results:

    • All 20 patients achieved satisfactory release of cryptotia.
    • No instances of partial or total flap failure, wound dehiscence, or need for revisional surgery were reported.
    • The technique resulted in hidden scars, preservation of the auriculotemporal sulcus depth, and no hair line distortion.

    Conclusions:

    • The described V-shaped post-auricular flap technique is a simple and effective method for cryptotia correction.
    • It provides good aesthetic outcomes without skin grafting and with minimal complications.
    • The results are comparable or superior to previously described techniques, making it a valuable option for treating this congenital ear deformity.