Department of Plastic, Reconstructive and Aesthetic Surgery, Cerrahpasa Medical Faculty, Istanbul University - Cerrahpasa, Istanbul, Turkey.
J Craniofac Surg. 2024;35(1):e88-e90. doi: 10.1097/SCS.0000000000009888. Epub 2023 Nov 10.
The question mark ear is a rare abnormality characterized by a cleft between the helix and the earlobe, resulting in a protrusion of the upper part of the ear. The severity of this ear malformation can range from a minor notch in the helix to a complete separation of the helix and the earlobe. In this study, we present a case of a patient with a moderately severe right-sided unilateral question mark deformity. To address this issue, we utilized a novel technique that involves a combination of a Y-V flap with double opposing Z-plasty. Our clinical study demonstrates that using this technique for reconstructing the deformity yields excellent results in terms of the helical rim and fold contour, utilizing solely the local tissues.
问号耳是一种罕见的畸形，其特征是耳轮和耳垂之间有裂隙，导致耳上部突出。这种耳部畸形的严重程度可以从耳轮的轻微凹陷到耳轮和耳垂完全分离。在本研究中，我们介绍了一例右侧单侧中度严重问号畸形的患者。为了解决这个问题，我们采用了一种新的技术，该技术涉及 Y-V 皮瓣与双对向 Z 成形术的结合。我们的临床研究表明，对于重建这种畸形，仅利用局部组织，使用这种技术可以获得极好的结果，包括耳轮边缘和折叠轮廓。
