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Polyethylene Ear Reconstruction: A State-of-the-Art Surgical Journey
John Reinisch1,2, Youssef Tahiri1,2
1Los Angeles, Calif.
Plastic and Reconstructive Surgery
|January 26, 2018
Summary
Porous high-density polyethylene implants offer a pleasing solution for pediatric ear reconstruction. This single-stage outpatient procedure provides excellent results with minimal patient discomfort.
Area of Science:
- Plastic Surgery
- Biomaterials Engineering
Background:
- Porous high-density polyethylene (PHDPE) implants are increasingly favored for pediatric ear reconstruction.
- This method allows for aesthetically pleasing results before children start school.
Purpose of the Study:
- To provide a detailed procedural guide for PHDPE ear reconstruction.
- To address common surgical questions regarding this technique.
Main Methods:
- Detailed description of the surgical steps for PHDPE ear reconstruction.
- Emphasis on harvesting a well-vascularized superficial temporoparietal fascia flap.
- Utilization of color-matched skin grafts for optimal aesthetic outcomes.
Main Results:
- The described method yields ear reconstructions with excellent definition, projection, and symmetry.
- Long-term viability of the reconstructed ear is achieved.
Conclusions:
- PHDPE with superficial temporoparietal fascia flap is the preferred method for ear reconstruction.
- Advantages include earlier surgical timing, single-stage procedure, outpatient setting, and reduced patient/parental distress.
