Abstract:
Cryptotia is a rare congenital auricular deformity among Caucasians but more common in Asians. Various operative techniques have been described, such as skin graft, V-Y plasty, Z plasty, and islands skin flap. Among those techniques, V-Y plasty has many advantages and is indicated for severe cases. However, several problems remain when this method is adopted, such as conspicuous scars and lowered hairline. To overcome these problems, the authors have developed a new technique, multiple V-Y advancement modification, which stitches the skin flaps together to a tight, discrete central focal point. This technique has the advantage of hiding scars behind the earlobe, providing enough skin for the deformed areas, minimizing the condition of the hairline being lowered and auriculocephalic sulcus depth.
摘要:
隐匿症是白种人中罕见的先天性耳廓畸形,但在亚洲人中更为常见。已经描述了各种操作技术,如皮肤移植,V-Y成形术,Z成形术,和岛屿皮瓣。在这些技术中,V-Y成形术具有许多优点,适用于重症病例。然而,当采用这种方法时,仍然存在一些问题,如明显的疤痕和降低的发际线。为了克服这些问题,作者开发了一种新技术,多次V-Y推进修改,将皮瓣缝合在一起,离散的中心焦点。这种技术的优点是将疤痕隐藏在耳垂后面,为变形区域提供足够的皮肤,最大限度地减少发际线被降低和耳廓沟深度的状况。