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Question 9#

A 7-year-old has cryptotia. Which of the following operative techniques is most appropriate for correction?

A. Advancement of the third crus of the antihelix
B. Partial detachment of the folded segment of helical cartilage from the scapha and repositioning of the helix with sutures
C. Placement of sutures from the conchal bowl to the mastoid fascia
D. Rasping of the anterior surface of the antihelical cartilage to create the antihelix
E. Separation of the superior auricle from the temporal skin with placement of a retro-auricular skin graft

Correct Answer is E

Comment:

Separation of the superior auricle from the temporal skin with placement of a retro-auricular skin graft.

References:

1. Furnas D. The correction of prominent ears by concha-mastoid sutures. Plast Reconstr Surg 1968; 42(3): 189-94. Multiple Choice Questions in Plastic Surgery 250 section 8 answers_section 8 answers.qxd 26-04-2013 16:50 Page 250
2. Leber D. Ear reconstruction. In: Textbook of plastic, maxillofacial and reconstruction surgery, 2nd ed. Georgiade GS, Georgiade N, Riefkohl R, Levin LS, Eds. Baltimore, USA: Williams & Wilkins, 1992: 497.
3. Mustardé J. The correction of prominent ears using mattress sutures. Br J Plast Surg 1963; 16: 170.
4. Sugino H. Surgical correction of Stahl’s ear using the cartilage turnover and rotating method. Plast Reconstr Surg 1989; 83(1): 160-4.
5. Tanzer R. The constricted (cup and lop) ear. Plast Reconstr Surg 1975; 55(4): 406- 15.