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KMID : 0602920050110010151
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Journal of the Korean Society of Aesthetic Plastic Surgery
2005 Volume.11 No. 1 p.151 ~ p.158
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Surgical Correction of Cryptotia with V-Y Advancement of Temporal Triangular Flap
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Cho Byung-Chae
Yang Jung-Dug
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Abstract
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A new approach is introduced for the correction of cryptotia using a large triangular flap, which is designed on the temporal scalp and skin over the auricle. The posterior limb of the triangular flap was continued to the mastoid area at the mid-portion of the auricle. The abnormal insertion of the auricular intrinsic muscles was detached. A sharply curved antihelical crus or a contraction of helical cartilage was corrected. After providing ample skin to maintain the auriculocephalic sulcus by inferior advancement of the flap, the donor was closed primarily. From 1999 to 2003, a total of 13 cases of 11 patients with cryptotia were treated. Nine were unilateral and two bilateral. In the nine patients of unilateral cryptotia, three were on the left and six were on the right side. The follow-up period was three months to one year with relatively favorable results. There were no postoperative complications, such as necrosis or infection of the flaps. In conclusion, the main advantages of the author’s proposed technique are simple and easy design, provision of enough skin to the upper and posterior portion of the auricle, sufficient depth of the auriculocephalic sulcus, correction of cartilage deformities with unrestricted access, and no need for additional skin grafting. Problems encountered were the development of a visible scar on the donor site and lowered hairline by advancement of the temporal triangular flap.
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KEYWORD
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Cryptotia, Temporal triangular V-Y advancement flap
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