title: [Application of both expanded cutaneous flap and temporoparietal fascia flap in ear reconstruction with Medpor framework].
abstract: OBJECTIVE
  To investigate the feasibility and results of application of both expanded cutaneous flap and temporoparietal fascia flap in total ear reconstruction with Medpor framework.
  
  
  METHODS
  The main procedure consists of two stages: Stage I-skin expansion; Stage II -auricle formation consists of orientation of Medpor implant and creation of coverage for the implant by both expanded skin flap and temporoparietal fascia flap.
  
  
  RESULTS
  Twenty-two ears in 22 unilateral microtia patients were constructed using Medpor implants covered with both expanded cutaneous flap and temporoparietal fascia flap over the last three years, they were accepted as pleasing by the patients.
  
  
  CONCLUSIONS
  Application of both expanded cutaneous flap and temporoparietal fascia flap can assure no extrusion of Medpor implant in ear reconstruction. Either more, the two layers of transferred tissues will not affect the profile details of the reconstructed ear. And because the skin covering the framework and fascia is derived from mastoid region, the appearance and profile of the reconstructed auricle is true to nature and close to that of the opposite one.
authors.affiliation: Department of Plastic Surgery, the Sixth People's Hospital Affiliated to Shanghai Jiaotong University, Shanghai 200233, China.
authors.forename: Song-Lin
authors.initials: SL
authors.lastname: Yang
authors.forename: Qing-Yang
authors.initials: QY
authors.lastname: Liu
authors.forename: Rui-Hong
authors.initials: RH
authors.lastname: Chen
authors.forename: Yi-Ping
authors.initials: YP
authors.lastname: Jin
authors.forename: Zhi
authors.initials: Z
authors.lastname: Ding
authors.forename: Yun
authors.initials: Y
authors.lastname: Gao
authors.forename: Jiang-Hong
authors.initials: JH
authors.lastname: Zheng
mesh_terms: D000293:Adolescent; D000328:Adult; D001672:Biocompatible Materials; D002648:Child; D004431:Ear, External / Q000601:surgery*; D005205:Fascia / Q000637:transplantation*; D005260:Female; D006801:Humans; D008297:Male; D011095:Polyethylenes; D019919:Prosthesis Implantation; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation; D015607:Stents; D013524:Surgical Flaps; D013701:Temporal Bone; D055815:Young Adult
chemical_list: D001672:Biocompatible Materials; C084562:Medpor; D011095:Polyethylenes