Guo Peipei, Liu Lei, Liu Zhenzhong, Pan Bo
Department of Ear Reconstruction, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College. Beijing.
Department of Burns and Plastic Surgery, Second Hospital of Shandong University. Shandong, China.
J Craniofac Surg. 2025 Sep 1;36(6):2193-2197. doi: 10.1097/SCS.0000000000011747. Epub 2025 Aug 4.
Cryptotia is a common congenital auricular deformity in which the upper ear is constricted and buried beneath the temporoparietal scalp. Various surgical techniques have been reported for the correction of cryptotia, whereas an optimum surgical protocol is still being explored. The aim of this study was to analyze the efficiency and reliability of a new method for cryptotia correction.
Twenty-six patients with 32 ears were included in this study. A new method combined with postauricular myofascial flap and skin graft was used for correcting cryptotia. After the curly auricular cartilage release correction, the posterior auricular fascial flap was lifted forward and folded as a support to fix the auricular cartilage, so as to maintain a normal position of the auricle, deepen the cranioauricular groove and correct the Cryptotia. Subsequently, the wound in the mastoid and retroauricular regions was covered with a full-thickness skin graft taken from the groin.
All patients exhibited a good response with respect to aesthetic and functional aspects (possibility of wearing glasses and masks). The contour of the corrected auricles was basically the same as that of the contralateral side. Scar hyperplasia occurred in both the groin and postauricular area in one patient. The overall result based on the 4-point Likert scale was good.
The method of using a postauricular myofascial flap combined with skin graft has proven to be a simple and reliable technique for correction of cryptotia. All corrections were performed in one stage.
隐耳是一种常见的先天性耳廓畸形，其上部耳朵收缩并埋于颞顶头皮之下。已有多种手术技术用于矫正隐耳，然而最佳手术方案仍在探索中。本研究的目的是分析一种新的隐耳矫正方法的有效性和可靠性。
本研究纳入了26例患者共32只耳朵。采用一种结合耳后肌筋膜瓣和植皮的新方法矫正隐耳。在卷曲的耳廓软骨松解矫正后，将耳后筋膜瓣向前掀起并折叠作为支撑来固定耳廓软骨，以维持耳廓的正常位置，加深颅耳沟并矫正隐耳。随后，用取自腹股沟的全厚皮片覆盖乳突区和耳后区域的伤口。
所有患者在美学和功能方面（佩戴眼镜和口罩的可能性）均表现出良好反应。矫正后的耳廓外形与对侧基本相同。1例患者腹股沟区和耳后区均出现瘢痕增生。基于4级李克特量表的总体结果良好。
耳后肌筋膜瓣联合植皮的方法已被证明是一种简单可靠的隐耳矫正技术。所有矫正均在一期完成。
