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CC BY-NC-ND 4.0 · Arch Plast Surg 2023; 50(01): 026-029
DOI: 10.1055/a-1962-6784
Pediatric/Craniomaxillofacial/Head & Neck
Idea and Innovation

The Multiple V-Y Advancement Modification for the Surgical Correction of Cryptotia

Nguyen Quang Duc 
1   Center for Craniofacial and Plastic Surgery, 108 Military Central Hospital, Hanoi, Vietnam
,
Nguyen Phuong Tien 
1   Center for Craniofacial and Plastic Surgery, 108 Military Central Hospital, Hanoi, Vietnam
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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.

Keywords

auricular - multiple V-Y - cryptotia - advancement flap

Patient Consent

The patient provided written informed consent for the publication and the use of his images.


Ethical Approval

Ethical approval was obtained from institutional review board of local faculty and the participating hospital.


Authors' Contribution

Conceptualization: N.Q.D. Data curation: N.Q.D. Writing-original draft: N.Q.D. and N.P.T. Writing-review & editing: N.Q.D. and N.P.T.




Publication History

Received: 27 May 2022

Accepted: 13 October 2022

Accepted Manuscript online:
18 October 2022

Article published online:
06 February 2023

© 2023. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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