Advertisement

Evolution of Porous Polyethylene Ear Reconstruction

  • John F. Reinisch
Chapter

Abstract

The technique of porous polyethylene ear reconstruction has evolved over the past three decades to optimize outcomes. Over time, all aspects of the reconstruction including the implant, soft tissue coverage, instrumentation, postoperative care, anesthesia, and hearing loss have been modified and improved. In this chapter, we will shed some light on all these changes and the rationale behind those changes. Hopefully, this chapter will help shorten a surgeon’s learning curve.

Keywords

Microtia Atresia-evolution Ear reconstruction Porous polyethylene PPE implant STPF flap Autologous Alloplastic 

References

  1. 1.
    Berghaus A, Axhausen M, Handrock M. Porous synthetic materials in external ear reconstruction. Laryngol Rhinol Otol. 1983;62:320–7.CrossRefGoogle Scholar
  2. 2.
    Wellisz T. Reconstruction of the burned external ear using a medpor porous polyethylene pivoting helix framework. Plast Reconstr Surg. 1993;91:811.CrossRefGoogle Scholar
  3. 3.
    Reinisch J. AAPS 1999, Colorado Springs, CO.Google Scholar
  4. 4.
    Jensen D, Grames L, Lieu J. Effects of aural atresia on speech development and learning: retrospective analysis from a multidisciplinary craniofacial clinic. JAMA Otolaryngol Head Neck Surg. 2013;139(8):797–802.CrossRefGoogle Scholar
  5. 5.
    Helling E, Okoro S, Kim G, Wang P. Endoscope-assisted temporoparietal fascia harvest for auricular reconstruction. Plast Reconstr Surg. 2008;121(5):1598–605.CrossRefGoogle Scholar
  6. 6.
    Kaplan AB, Kozin ED, Remenschneider A, Eftekhari K, Jung DH, Polley DB, et al. Amblyaudia. Review of pathophysiology, clinical presentation, and treatment of a new diagnosis. Otolaryngol Head Neck Surg. 2016;154(2):247–55.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • John F. Reinisch
    • 1
    • 2
  1. 1.Keck School of MedicineUniversity of Souther CaliforniaLos AngelesUSA
  2. 2.Craniofacial and Pediatric Plastic SurgeryCedars Sinai Medical CenterLos AngelesUSA

Personalised recommendations