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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

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Correction of Cryptotia Using a Repositioned Inverted Free Cartilage Graft Technique.

Wenkang Luan¹, Shujun Fan¹, Dongwen Jiang¹

¹Department of Auricular Reconstruction, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Shijingshan District, 33 Badachu Road, Beijing, China.

Aesthetic Plastic Surgery

|June 18, 2026

Summary

The repositioned inverted free cartilage graft technique effectively corrects cryptotia in pediatric patients. This method offers high patient satisfaction and minimal complications, improving ear aesthetics and function.

Keywords:

Auriculocephalic sulcus Cryptotia Free cartilage graft Inverted Repositioned

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Last Updated: Jun 20, 2026

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Published on: June 20, 2018

Area of Science:

Plastic Surgery
Otolaryngology
Pediatric Surgery

Background:

Cryptotia is a congenital ear deformity requiring surgical correction.
Existing techniques may have limitations in achieving optimal aesthetic and functional outcomes.

Purpose of the Study:

To evaluate the surgical efficacy and patient satisfaction of the repositioned inverted free cartilage graft technique for cryptotia correction.

Main Methods:

Retrospective analysis of 12 pediatric patients with cryptotia.
Utilized a novel technique involving a repositioned inverted free cartilage graft.
Assessed postoperative complications, ear morphology (Likert scale), and patient satisfaction (Visual Analog Scale - VAS).

Main Results:

No significant complications or recurrence of deformity observed in 12 patients over 6-15 months.
Significant deepening of the auriculocephalic sulcus, facilitating mask and glasses use.
High postoperative scores: Likert 4.25 (surgeon) & 4.06 (guardians), VAS 8.15 (patient satisfaction).

Conclusions:

The repositioned inverted free cartilage graft technique is effective for cryptotia correction.
Achieved satisfactory aesthetic and functional results with high patient satisfaction.
Demonstrates significant clinical value with minimal complications.