Microtia reconstruction using a porous polyethylene framework.
We describe our method for reconstructing microtic auricles using a porous polyethylene framework in two stages. The first stage of the procedure involves rotating a superficial temporoparietal fascial (TPF) flap over the framework. The inferior two-thirds of this framework is next inset into a local temporal skin pocket, while the superior one-third is covered with a full thickness skin graft from the contralateral postauricular sulcus. Lobular transposition is commenced in a second stage procedure at the three-month postoperative period. Hearing restoration surgery is encouraged at a later date in selected patients with unilateral microtia. Use of the porous polyethylene framework permits a more expedient, less invasive, and more reliable method for auricular reconstruction than does the traditional method that employs costal cartilage.
Romo
T
T
Department of Otolaryngology-Head and Neck Surgery, New York Eye and Ear Infirmary, New York, NY, USA.
Fozo
M S
MS
Sclafani
A P
AP
D002648:Child; D004431:Ear, External / Q000601:surgery*; D005205:Fascia / Q000637:transplantation; D006311:Hearing Disorders / Q000601:surgery; D006801:Humans; D010347:Patient Care Planning; D020959:Polyethylene; D016062:Porosity; D011183:Postoperative Complications; D019736:Prostheses and Implants; D011474:Prosthesis Design; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000295:instrumentation*; D015203:Reproducibility of Results; D016038:Skin Transplantation / Q000379:methods; D013524:Surgical Flaps; D013703:Temporal Muscle / Q000637:transplantation; D023822:Tissue Engineering / Q000639:trends; D016896:Treatment Outcome
D020959:Polyethylene