The term cryptotia is applied to a congenital anomaly of the ear characterized by the disappearance of the superior pole from view; the pole telescopes and hides beneath the scalp. When the invaginated upper pole is retracted out from under the scalp, the helix usually appears intact; however, the scapha may have some deformity associated with a rather sharply folded superior antihelical crus. A third crus may be present. After retraction is released, the upper pole returns into the scalp pocket.

Elevation of the upper pole of the ear from the side of the head is indicated for aesthetic reasons and also offers convenience and support for eye glasses or hearing aids. Many methods of releasing the upper pole have been described (1, 2, 3, 4, 5, 6). Elevation from the side of the head creates a skin
defect of the scalp and on the medial aspect of the ear. This open area requires coverage with adjacent scalp flaps, skin grafts, or a combination of these. The resultant scalp scars are readily seen but may be hidden if the hair is kept long.