Comparison between Z-plasty and V-Y Advancement for the Surgical Correction of Cryptotia
Archives of Craniofacial Surgery
;
: 7-13, 2014.
Article
in English
| WPRIM
| ID: wpr-155895
ABSTRACT
BACKGROUND:
Cryptotia correction by V-Y advancement of a temporal triangular flap was introduced in 2005. However, despite the several advantages of V-Y advancement, visible scars at the donor site are problematic. As a result, a Z-plasty technique was considered for skin deficiency in mild cases. Therefore, we introduce a new surgical scheme for cryptotia correction based on considerations of techniques and complications that arose in our clinic.METHODS:
Between 2000 and 2013, 26 patients (35 cases) of cryptotia were treated. Seventeen patients had unilateral cryptotia and nine had bilateral cryptotia. Two corrective methods were used, Z-plasty or V-Y advancement, based on the severity. In mild cases, Z-plasty was used for correction and in severe cases, V-Y flap advancement was used for more skin supplement.RESULTS:
Follow-up periods ranged from 6 months to 1.5 years. The results obtained were relatively favorable. Nine cases of mild deformity were corrected by Z-plasty, and the other 26 cases with mild or severe deformities were corrected by V-Y advancement. In Z-plasty cases, there was one hypertrophic scar and in V-Y advancement cases, seven resulted in visible scarring and three in skin sloughing.CONCLUSION:
The main advantage of Z-plasty is a lower likelihood of visible scarring at the donor site. In mild cases, Z-plasty may be a good alternative, but in severe cases, V-Y advancement is probably the best option for more skin supplement.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Skin
/
Congenital Abnormalities
/
Tissue Donors
/
Follow-Up Studies
/
Cicatrix
/
Cicatrix, Hypertrophic
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
Archives of Craniofacial Surgery
Year:
2014
Type:
Article
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