Our Summary

This research paper explains a new method for treating a medical condition known as cryptotia, where the upper ear is buried beneath the skin of the scalp. Sometimes, patients suffering from this issue also have a smaller than normal outer edge of the ear, known as the helix.

While there are several existing surgical methods for correcting cryptotia, many do not address the issue of a smaller helix. If left untreated, the ear could still appear drooped or deformed after surgery.

The researchers previously introduced a surgical technique called the large Z-plasty, which became a popular method for treating cryptotia. However, this technique doesn’t always give satisfactory results for patients with a smaller helix.

To rectify this, the researchers have developed a new technique, called the double Z-plasty. This adds a smaller Z-shaped surgical cut to the helical rim, in addition to the usual large Z-plasty technique. This modification helps improve the shape of the helix and enlarge the ear.

The researchers believe that by properly using these two techniques, most types of cryptotia can be effectively treated.

FAQs

  1. What is the issue with traditional techniques for correcting cryptotia?
  2. How does the double Z-plasty technique improve upon the large Z-plasty technique for treating cryptotia?
  3. Can the double Z-plasty technique be used on all types of cryptotia?

Doctor’s Tip

A helpful tip a doctor might give a patient about Z-plasty for correcting cryptotia is to discuss the possibility of combining a small Z-plasty in the helical rim with the usual large Z-plasty technique. This new technique, known as double Z-plasty, can help improve the helical shape and enlarge the ear, resulting in more satisfactory results for cases with a shortage of the helix. It is important to communicate with your surgeon about the best approach for your specific case to achieve the desired outcome.

Suitable For

Patients with moderate to severe cases of cryptotia, particularly those with a shortage of the helix, may be recommended for z-plasty surgery. Additionally, patients with a drooped wide helix, constricted ear, or cranially and posteriorly hypoplastic ear may benefit from z-plasty techniques. The double Z-plasty technique, which involves a small Z-plasty in the helical rim in addition to the usual large Z-plasty, can help improve helical shape and enlarge the ear in these cases. Overall, z-plasty techniques can be effective for treating various types of cryptotia when used appropriately.

Timeline

  • Patient consults with a plastic surgeon for correction of cryptotia with a shortage of the helix
  • Plastic surgeon recommends Z-plasty technique for correction
  • Patient undergoes Z-plasty surgery, which involves the repositioning of tissue to create a more natural-looking helix
  • Patient experiences post-operative care and follow-up appointments to monitor healing and progress
  • Patient may require additional surgeries or procedures for optimal results, such as double Z-plasty technique for further improvement in helical shape and ear enlargement.

What to Ask Your Doctor

  1. Can you explain the difference between a large Z-plasty and a double Z-plasty technique for correcting cryptotia?
  2. How do you determine if a patient is a good candidate for a Z-plasty procedure?
  3. What are the potential risks and complications associated with Z-plasty surgery?
  4. What is the typical recovery process like after undergoing a Z-plasty procedure?
  5. How long will it take to see the final results of the Z-plasty surgery?
  6. Are there any specific post-operative care instructions that I should follow to optimize the outcome of the procedure?
  7. What is the success rate of Z-plasty surgery for correcting cryptotia?
  8. Are there any alternative treatment options that I should consider before deciding on Z-plasty surgery?
  9. How many Z-plasty procedures have you performed for correcting cryptotia, and what is your experience with this technique?
  10. Can you provide before and after photos of previous patients who have undergone Z-plasty surgery for cryptotia?

Reference

Authors: Yotsuyanagi T, Yamashita K, Sugai A, Gonda A, Kitada A, Onuma M, Ueda N, Harada J. Journal: J Craniofac Surg. 2023 Oct 1;34(7):2092-2094. doi: 10.1097/SCS.0000000000009427. Epub 2023 Jun 5. PMID: 37271863