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Ear Reconstruction Using a Porous Polyethylene Framework and Temporoparietal Fascia Flap
Abstract
Ear reconstruction is a difficult procedure requiring a framework and soft tissue covering. The traditional method uses a rib cartilage framework placed beneath scalp skin. This method has been used for 50 years despite inherent problems with both harvesting rib cartilage and using scalp for coverage. The authors describe a method using a porous polyethylene (PPE) framework covered by a large temporoparietal fascia (TFP) flap raised with the underlying subgaleal fascia (SGF). The entire implant is covered by the two-layered flap, which can be raised without any scalp incision. The skin grafts applied to the covered implant lie on the SGF. The trilaminar structure of the SGF allows the skin to move independently over the implant, resisting shear forces and reducing the probability of implant exposure. Ear reconstruction using the PPE framework was performed on 786 ears over an 18-year period. Initial complications were common. With improved implant design and complete coverage of the implant with both the TPF and SGF, exposure rate dropped to 7% with a 12-year follow-up. Implant fractures decreased to less than 3%. The PPE/TPF method allows earlier ear reconstruction in children with minimal scarring and discomfort. The reconstructed ear can closely mimic the shape and projection of the natural contralateral ear in fewer stages and with a shorter learning curve.
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“Osteointegrated prostheses, costochondral implants, or polyethylene Medpor (Stryker Corp., Kalamazoo, MI) implants are the preferred methods to reconstruct near-total to total ear defects.5,[34][35][36][37][38]”
From Ear Reconstruction following Mohs Micrographic Surgery (2024) · cites this paper as [35]
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Metadata
- Authors
- Reinisch, J., & Lewin, S.
- Affiliations
- Cedars-Sinai Medical Center (US)
- Venue
- Facial Plastic Surgery
- Publisher
- Georg Thieme Verlag KG
- Published
- 2009-08
- Volume
- 25
- Issue
- 03
- Pages
- 181-189
- ISSN
- 0736-6825 (ISSN-L)
- 1098-8793
- OpenAlex
- W2091166213
- Cited by
- 203
- References
- 0
- Citations by year
- 2026: 6 · 2025: 20 · 2024: 14 · 2023: 15 · 2022: 12 · 2021: 19 · 2020: 8 · 2019: 19 · 2018: 14 · 2017: 11 · 2016: 10 · 2015: 9 · 2014: 18 · 2013: 4 · 2012: 10
- FWCI
- 8.04
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Facial Plastic Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
- Health Sciences › Medicine › Surgery › Reconstructive Surgery and Microvascular Techniques
- Health Sciences › Medicine › Genetics (clinical) › Congenital Ear and Nasal Anomalies
- Keywords
- ear reconstruction, temporoparietal fascia flap, implant exposure, implant fracture, implant design, soft tissue coverage
- MeSH terms
- Congenital Abnormalities, Ear Canal, Ear Cartilage, Ear Diseases, Ear, External, Fascia, Humans, Prosthesis Design, Surgery, Plastic, Surgical Flaps, Plastic Surgery Procedures, Prostheses and Implants, Polyethylene, Tissue Scaffolds, Ear Auricle
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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