Department of Plastic Surgery, Royal Free Hospital, London NW3 2YP, UK.
J Plast Reconstr Aesthet Surg. 2011 Nov;64(11):1444-7. doi: 10.1016/j.bjps.2011.06.037. Epub 2011 Jul 21.
Cryptotia is a congenital ear deformity in which the upper pole appears buried beneath mastoid skin. Here we describe our method of cryptotia correction which we have used to good effect with minimal complications.
20 patients and 24 ears were operated on. All surgery was performed by the senior authors WS and DG. Patient age range was 4-19 years and mean follow up was 2.1 years. We use a superiorly based V-shaped flap raised from the post-auricular skin. Following ear release, the flap is rotated into the defect and donor site closed directly. Our technique ensures all scars are hidden behind the ear, there are no skin grafts required.
All patients had a satisfactory release of cryptotia, there were no cases of partial or total flap failure, none of wound dehiscence and no patients required revisional surgery.
The post-auricular flap is a simple technique, retaining the depth of the auriculotemporal sulcus, providing a good skin colour match without the need for skin grafting and without distorting the hair line. Our results are comparable or superior to those seen with other techniques previously described.
先天性隐耳是一种耳部畸形，表现为上部耳轮埋入耳后乳突皮肤皮下。我们在此描述了一种隐耳矫正方法，该方法效果良好，并发症少。
共 20 名患者（24 耳）接受了手术。所有手术均由资深作者 WS 和 DG 完成。患者年龄为 4-19 岁，平均随访时间为 2.1 年。我们采用自耳后上方的 V 形皮瓣，耳后皮肤游离后，将皮瓣旋转至缺损处，直接缝合供区。我们的技术确保所有的瘢痕都隐藏在耳后，无需皮片移植。
所有患者隐耳均得到充分松解，无皮瓣部分或全部坏死、伤口裂开，无患者需要再次手术。
耳后皮瓣是一种简单的技术，保留了耳颞沟的深度，提供了良好的肤色匹配，无需皮片移植，且不会改变发际。我们的结果与先前描述的其他技术相当或更优。
