Our Method of Correcting Cryptotia

Yanai, Akira; Tange, Ichiro; Bandoh, Yukihiro; Tsuzuki, Kenichi; Sugino, Hiroko; Nagata, Satoru

doi:10.1097/00006534-198812000-00005

Cited by 20 publications

(5 citation statements)

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“…Most surgical methods involve inserting a skin flap into the skin defect that occurs when the cryptotia is corrected. [4][5][6][7][8] When skin from the head is applied to the auricle, the difference in texture, hair growing on the auricle, and the alopecia scar at the donor site are problematic. The skin flap from the posterior surface of the auricle to the posterior part of the ear is thought to hide the scar.…”

Section: Discussionmentioning

confidence: 99%

“…A large number of surgical procedures for cryptotia have been reported. Most surgical methods involve inserting a skin flap into the skin defect that occurs when the cryptotia is corrected 4–8. When skin from the head is applied to the auricle, the difference in texture, hair growing on the auricle, and the alopecia scar at the donor site are problematic.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A Patient With Cryptotia Corrected With Intraoperative Tissue Expansion and Superior Auricular Muscle Transfer Through a Small Hairline Incision

Kasai

Kishi

2023

Journal of Craniofacial Surgery

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Patient With Cryptotia Corrected With Intraoperative Tissue Expansion and Superior Auricular Muscle Transfer Through a Small Hairline Incision

Kasai

Kishi

2023

Journal of Craniofacial Surgery

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“…Various techniques for enlargement of the posterior skin of the ear have been reported. Local flaps including a V-Y flap, 5 rotation flap, 1,6–8 transposition flap, 9 subcutaneous flap, 10,11 and Z-plasty 2,12 are used in most of the reported techniques. The main abnormalities in auricular muscles are an abnormal course of the superior auricular muscle and shortening of the auricular transverse and oblique muscles 13 .…”

Section: Discussionmentioning

confidence: 99%

Correction of Cryptotia With Double Z-plasty:Modified Large Z-plasty Technique

Yotsuyanagi

Yamashita

Sugai

et al. 2023

Journal of Craniofacial Surgery

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Some cases of moderate or severe cryptotia are accompanied by a shortage of the helix. Although various operative techniques for correcting cryptotia have been reported, elongation of the helix is not considered in most of those techniques. In cases of a shortage of the helix, a drooped wide helix like a constricted ear or a cranially and posteriorly hypoplastic ear, which is characteristic of cryptotia, can appear after surgery if the helix has not been elongated. We previously reported a large Z-plasty technique that has become one of the popular techniques for correcting cryptotia. However, satisfactory results are not always achieved by using this technique in cases with a shortage of the helix. We developed a new technique (double Z-plasty) in which a small Z-plasty in the helical rim is added to the usual large Z-plasty technique. An improved helical shape and enlargement of the ear can be achieved by using this technique. Almost all types of cryptotia can be treated by appropriately using the large Z-plasty and double Z-plasty techniques.

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“…1 – 9 Local flap methods are the most commonly indicated because the auricle with a natural texture is reconstructed in a 1-stage operation. To date, Kubo’s V-Y advancement flap, 4 Z-plasty, 5 , 6 a rotation flap, 7 transposition flap, 8 and subcutaneous pedicled flap 3 have been employed in local flap methods. However, in most of these techniques, a visible scar is left and/or the hair line is disturbed.…”

Section: Discussionmentioning

confidence: 99%