Su Ruonan, Jia Xuanye, Yu Xiaobo, Pan Bo, Jiang Haiyue
Plastic Surgery Hospital and Institute, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
J Craniofac Surg. 2025 Mar 13. doi: 10.1097/SCS.0000000000011191.
Congenital cryptotia, a common ear deformity in Asia, significantly affects both the shape and function of the auricle. Various surgical methods currently exist for cryptotia correction. This article presents a technique involving the reconstruction of 3-dimensional muscle tension of the auricle combined with the transfer of the retroauricular fascia flap, yielding stable and satisfactory outcomes.
This study included 32 patients with congenital cryptotia who underwent surgery between January 2023 and June 2024. The correction was achieved through a combination of 3-dimensional muscle tension reconstruction around the ear and retroauricular fascia flap transfer. Postoperatively, the morphology and symmetry of the patients' auricles were evaluated, and follow-up assessments were conducted to gauge satisfaction and monitor complications.
Postoperative evaluations indicated that all patients' deformities were effectively corrected, with a significant improvement in aesthetic scores compared with preoperative levels. The average follow-up period was 11±3.96 months. Of the patients, 30 (93.75%) were highly satisfied, 2 (6.25%) were satisfied, and none were dissatisfied. One patient (3.33%) experienced wound infection and delayed healing in the early postoperative period, which improved after dressing changes.
The surgical method of reconstructing 3-dimensional muscle tension of the ear combined with the transfer of the retroauricular fascia flap has proven to be a reliable option for the treatment of cryptotia. This method is straightforward to perform, achieves satisfactory repair outcomes, and has a low incidence of complications and recurrence.
先天性隐耳是亚洲常见的耳部畸形，严重影响耳廓的形态和功能。目前存在多种用于矫正隐耳的手术方法。本文介绍一种技术，该技术涉及重建耳廓的三维肌肉张力并结合耳后筋膜瓣转移，可产生稳定且令人满意的效果。
本研究纳入了2023年1月至2024年6月期间接受手术的32例先天性隐耳患者。通过围绕耳朵重建三维肌肉张力并转移耳后筋膜瓣相结合来实现矫正。术后，评估患者耳廓的形态和对称性，并进行随访评估以衡量满意度和监测并发症。
术后评估表明，所有患者的畸形均得到有效矫正，美学评分较术前水平有显著提高。平均随访期为11±3.96个月。其中，30例（93.75%）患者高度满意，2例（6.25%）患者满意，无患者不满意。1例患者（3.33%）术后早期出现伤口感染和愈合延迟，经换药后好转。
重建耳部三维肌肉张力并结合耳后筋膜瓣转移的手术方法已被证明是治疗隐耳的可靠选择。该方法操作简便，修复效果满意，并发症和复发率低。
