Cryptotia (Plastic Surgery)

Acute

What is Cryptotia?

Cryptotia is a congenital ear deformity in which the upper pole appears buried beneath the mastoid skin. It is a common auricular malformation among Asians.

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Cryptotia can affect one ear or both. The top of the ear is flatter and is under the skin, which is why it's sometimes called hidden ear or buried ear. Because this part of the ear is under the skin, it's hard for kids to wear glasses because the frames can't hook onto the ears in the usual way.

Cryptotia is the fourth most common type of ear deformity in newborns. While this condition typically does not affect hearing, it can make wearing eyeglasses or sunglasses nearly impossible and significantly impact a child's self-esteem.

The cause of cryptotia is not known, however it does occur more commonly in people of Asian descent (reports show up to 1 in 400 births). It typically does not affect hearing however, wearing eyeglasses or sunglasses is often difficult or impossible as the temple pieces of the glasses have no resting place.

can also be treated surgically. Surgical correction of cryptotia may require the use of local skin flaps or skin grafts to lift the ear framework from the side of the head. Severe cases may require a cartilage graft.

  • Restore the auriculocephalic sulcus (the groove between the upper ear and the side of the head)
  • Replace the deficient skin using local skin flaps or skin grafts to cover embedded cartilage
  • Reinforce any collapsed cartilage
  • Release abnormal tethering ear muscles

Although a general anesthetic is needed, the operation is done on an outpatient basis and your child will be able to return home the same day.

Cryptotia attributable to deficient posterior skin coverage frequently recurs. Because local flaps cover only the posterior aspects of the defective upper auricular cartilage and lack functional support to resist collapse of the helix, especially if severe helical cartilage anomalies are present, additional support is required to prevent the postoperative recurrence of this anomaly.

How is it diagnosed?

How is it diagnosed?

One treatment option for cryptotia is ear molding, a non-surgical treatment option that may help avoid the need for surgery. This treatment utilizes an external device that shapes and stretches the upper portion of the ear. Unlike many other congenital ear deformities, which are most effectively treated in the first few weeks of life when the ears are soft and moldable, cryptotia may be effectively treated with ear molding well beyond the neonatal period. In some cases, successful non-operative correction of cryptotia has been reported even up to 5 years of age. This success may be possible because these ears already have a normal cartilage framework and primarily require skin expansion to cover the embedded cartilage.

How is it treated?

Treatment for acute myeloid leukemia is vital. It varies with the patient and stage of the disease. Treatment options include

Cryptotia can also be treated surgically. Surgical correction of cryptotia may require the use of local skin flaps or skin grafts to lift the ear framework from the side of the head. Severe cases may require a cartilage graft.

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