[Application of both expanded cutaneous flap and temporoparietal fascia flap in ear reconstruction with Medpor framework].
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.
Yang
Song-Lin
SL
Department of Plastic Surgery, the Sixth People's Hospital Affiliated to Shanghai Jiaotong University, Shanghai 200233, China.
Liu
Qing-Yang
QY
Chen
Rui-Hong
RH
Jin
Yi-Ping
YP
Ding
Zhi
Z
Gao
Yun
Y
Zheng
Jiang-Hong
JH
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
D001672:Biocompatible Materials; C084562:Medpor; D011095:Polyethylenes