RSS-Feed abonnieren
![](/products/assets/desktop/img/oa-logo.png)
DOI: 10.5999/aps.2012.39.6.601
Considerations for the Management of Cryptotia Based on the Experience of 34 Patients
This study was supported by research funds from Dong-A University.![](https://www.thieme-connect.de/media/10.1055-s-00051611/201206/lookinside/thumbnails/10_5999_aps_2012_39_6_601_601-1.jpg)
Background Cryptotia is a congenital ear deformity in which the upper pole appears buried beneath the mastoid skin. Cryptotia is a common auricular malformation among Asians. The aim of this paper is to examine the surgical techniques for and complications of 34 cryptotic patients.
Methods Surgery was performed for 34 cryptotic deformities (January 2005 to January 2012). Twenty-two patients (64.7%) were classified as having type I cryptotia, and 12 patients (37.5%) type II cryptotia. Among the type I cryptotia patients, 8 patients had mild deformity and 14 severe deformity. Among the type II cryptotia patients, 10 patients had mild deformity and 2 severe deformity.
Results The mild deformities were corrected via Z-plasty, V-Y plasty, full-thickness skin graft, and transposition flap, while the severe deformities were corrected via cartilage graft or Medporfor the spread of cartilage adhesion of antihelix. There were two cases of reinvagination in the autologous cartilage graft group. Implant exposure occurred with Medpor (two cases). There were two cases of hypertrophic scar on the previous surgical wound with Medpor. There were no complications in the 18 patients who had mild deformities.
Conclusions The type I cryptotia patients had more severe deformities than the type II cryptotia patients. As most of the type II cryptotia patients had only mild deformities, their deformities were corrected without using autologous conchal cartilage graft or Medpor, except for two patients. Through more case analyses, researchers should make an effort to identify methods for recurrence and prevention of complication.
This study was presented at the 69th Congress of the Korean Society of Plastic and Reconstructive Surgeons on November 11-13, 2011 in Seoul, Korea.
Publikationsverlauf
Eingereicht: 09. Juli 2012
Angenommen: 04. Oktober 2012
Artikel online veröffentlicht:
01. Mai 2022
© 2012. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
-
REFERENCES
- 1 Yotsuyanagi T, Yamashita K, Shinmyo Y. et al. A new operative method of correcting cryptotia using large Z-plasty. Br J Plast Surg 2001; 54: 20-24
- 2 Hirose T, Tomono T, Matsuo K. et al. Cryptotia: our classification and treatment. Br J Plast Surg 1985; 38: 352-360
- 3 Kim JH, Jung YH, Lee KN. et al. Modified Onizuka's method for correction of cryptotia. J Korean Soc Plast Reconstr Surg 1996; 23: 451-460
- 4 Tanemura T. Upon the pocket ear. Jibi-Inko-Ka 1935; 8: 401-407
- 5 Tachibana M. Upon the experience of treating the cryptotia. Jibi-Rinsho 1941; 36: 167-172
- 6 Fukuda O. Otoplasty of cryptotia. Keisei Geka 1968; 11: 117-125
- 7 Ohmori S, Matsumoto K. Treatment of cryptotia, using Teflon string. Plast Reconstr Surg 1972; 49: 33-37
- 8 Ohmori S, Takada H. Cryptotia. Aesthetic Plast Surg 1979; 3: 15-28
- 9 Marsh D, Sabbagh W, Gault D. Cryptotia correction: the post-auricular transposition flap. J Plast Reconstr Aesthet Surg 2011; 64: 1444-1447
- 10 Xu JH, Wu WH, Tan WQ. Surgical correction of cryptotia with the square flap method: a preliminary report. Scand J Plast Reconstr Surg Hand Surg 2009; 43: 29-35
- 11 Kajikawa A, Ueda K, Asai E. et al. A new surgical correction of cryptotia: a new flap design and switched double banner flap. Plast Reconstr Surg 2009; 123: 897-901
- 12 Sakamoto Y, Nakajima H, Kishi K. et al. A new surgical correction of cryptotia with superior auricular myocutaneous flap. J Plast Reconstr Aesthet Surg 2010; 63: 1995-2000
- 13 Adams MT, Cushing S, Sie K. Cryptotia repair: a modern update to the trefoil flap. Arch Facial Plast Surg 2011; 13: 355-358
- 14 Lee KC, Kwon YS, Heo J. et al. Otoplasty with high density polyethylene implant (Medpor(R)). J Korean Soc Plast Reconstr Surg 2009; 36: 167-173