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Total Ear Reconstruction Using Porous Polyethylene.

Kausar Ali¹, Jeffrey G Trost¹, Tuan A Truong¹

¹Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.

Seminars in Plastic Surgery

|August 12, 2017

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Porous polyethylene (Medpor) offers superior total ear reconstruction compared to autologous grafts. This method provides better aesthetics, requires fewer procedures, and simplifies recovery for patients with auricular deformities.

Area of Science:

Plastic Surgery
Biomaterials Science

Background:

Total ear reconstruction addresses auricular deformities using various methods.
Autologous grafts, prosthetic implants, and alloplastic materials are common options.

Purpose of the Study:

To highlight the advantages of porous polyethylene (Medpor) for total ear reconstruction.
To discuss recent surgical technique advancements for Medpor-based reconstruction.

Main Methods:

Review of existing literature comparing Medpor reconstruction with autologous reconstruction.
Discussion of surgical techniques including temporoparietal fascia flap and skin grafting for Medpor framework coverage.

Main Results:

Medpor reconstruction demonstrates superior aesthetic outcomes compared to autologous reconstruction.

Keywords:

Medpor ear reconstruction microtia polyethylene temporoparietal fascia flap

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Medpor offers advantages such as earlier intervention, shorter surgery times, fewer procedures, and simpler recovery.

Conclusions:

Porous polyethylene (Medpor) is a durable and effective option for total ear reconstruction.
Advanced surgical techniques improve Medpor framework coverage, reducing extrusion rates and enhancing patient outcomes.