Department of Plastic Surgery, Saiseikai Utsunomiya Hospital, Utsunomiya.
Department of Plastic Surgery, Keio University School of Medicine, Tokyo, Japan.
J Craniofac Surg. 2023 May 1;34(3):e294-e296. doi: 10.1097/SCS.0000000000009212. Epub 2023 Feb 27.
Cryptotia is a relatively common auricular congenital anomaly in Asia. Nonsurgical molding is easy in infancy. However, surgical correction is often necessary after infancy. The authors report a case of cryptotia in which intraoperative tissue expansion and superior auricular muscle transfer were performed through a small incision at the hairline with good results. The patient is a 7-year-old girl. Three years after the operation, successful results were obtained. This method is advantageous as the procedure is simple, risk of relapse can be reduced by also treating the auricular muscle, and scarring is relatively inconspicuous. In addition, it is possible to switch to another technique when the improvement is poor.
先天性小耳畸形在亚洲较为常见,其在婴幼儿期通过非手术塑形较易矫正,但在婴幼儿后常需手术矫正。作者报告了 1 例经发际内小切口,术中应用组织扩张器及耳上肌转移治疗先天性小耳畸形的病例,取得了良好的效果。患者为 7 岁女孩,术后 3 年随访,效果满意。该方法的优点是操作简单,同时处理耳肌可减少复发的风险,且瘢痕隐蔽;另外,如果改善效果不佳,还可以转换为其他技术。