Polyethylene Ear Reconstruction: A State-of-the-Art Surgical Journey.

Abstract:

BACKGROUND:The use of a porous high-density polyethylene implant for ear reconstruction is gradually gaining acceptance because it allows for a pleasing ear reconstruction in young children before they enter school. In response to this growing interest, the authors decided to write an article clarifying in detail all the steps of this challenging procedure. In this article, the authors also answer all the common questions that surgeons have when they come to observe the operation, or when they go back to their respective practices and start performing this procedure. METHODS:The authors describe in detail the operative steps that allow for a successful ear reconstruction using porous high-density polyethylene. The key parts of this operation are to meticulously harvest a well-vascularized superficial temporoparietal fascia flap and to use appropriate color-matched skin grafts. RESULTS:This method allows for a pleasing ear reconstruction with excellent definition, projection, symmetry, and long-term viability. CONCLUSION:The use of porous high-density polyethylene with a thin superficial temporoparietal fascia flap coverage is the authors' preferred method of ear reconstruction because it can be performed at an earlier age, in a single stage, as an outpatient procedure, and with minimal discomfort and psychological trauma for the patients and parents.

journal_name

Plast Reconstr Surg

authors

Reinisch J,Tahiri Y

doi

10.1097/PRS.0000000000004088

subject

Has Abstract

pub_date

2018-02-01 00:00:00

pages

461-470

issue

2

eissn

0032-1052

issn

1529-4242

pii

00006534-201802000-00038

journal_volume

141

pub_type

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