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
