Surgical correction of cryptotia combined with an ultra-delicate split-thickness skin graft in continuity with a full-thickness skin rotation flap

Publication date: Available online 9 June 2017
Source:Journal of Plastic, Reconstructive & Aesthetic Surgery
Author(s): Yu Xiaobo, Yang Qinghua, Jiang Haiyue, Pan Bo, Zhao Yanyong, Lin Lin
BackgroundCryptotia is a common congenital ear deformity in Asian populations. In cryptotia, a portion of the upper ear is hidden and fixed in a pocket of the skin of the mastoid. Here, we describe our method for cryptotia correction combined with an ultra-delicate split-thickness skin graft in continuity with a full-thickness skin rotation flap.Patients and MethodsWe developed a new method for correcting cryptotia using an ultra-delicate split-thickness skin graft in continuity with a full-thickness skin rotation flap. Following ear release, the rotation flap is rotated into the defect, and the donor site is covered by an ultra-delicate split-thickness skin graft raised in continuity with the flap.ResultsAll patients exhibited the satisfactory release of cryptotia. No cases involved partial or total flap necrosis, and postoperative outcomes using this new technique for cryptotia correction have been more than satisfactory.ConclusionsOur method of using an ultra-delicate split-thickness skin graft in continuity with a full-thickness skin rotation flap to correct cryptotia is a simple and reliable technique.



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