Complications after total porous implant ear reconstruction and their management
Abstract
Microtia reconstruction using porous polyethylene implants has become an established alternative to autologous costal cartilage techniques. Few surgeons are trained in porous implant ear reconstruction (PIER), leading to a relative lack of understanding of the nuances of this type of surgery. The risks of exposure, infection, and fracture of the implant have further discouraged surgeons from performing PIERs. Meticulous technique and proper management of complications are critical to the success of surgeries involving porous implants (Medpor, Su-Por). There are a limited number of articles in the literature that report the management of complications of porous implant auricular reconstruction. The purpose of this work is to present a comprehensive review of the management of complications with PIER based on over 10 years of experience with this surgical technique.
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- Authors
- Lewin, S.
- Affiliations
- Private Practice, Santa Monica, California
- Corresponding author
- Lewin, Sheryl
- Venue
- Facial Plastic Surgery
- Publisher
- Georg Thieme Verlag KG
- Published
- 2015-12-14
- Volume
- 31
- Issue
- 06
- Pages
- 617-625
- ISSN
- 0736-6825 (ISSN-L)
- 1098-8793
- OpenAlex
- W2416476950
- Cited by
- 31
- References
- 0
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 7 · 2022: 5 · 2021: 2 · 2020: 6 · 2019: 3 · 2018: 2
- FWCI
- 0.67
- 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 › Genetics › Congenital Ear and Nasal Anomalies
- Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
- Keywords
- porous polyethylene implants, microtia reconstruction, ear reconstruction, implant complications, implant exposure, implant-associated infection, implant fracture, complication management, Medpor
- MeSH terms
- Child, Child, Preschool, Ear, Female, Humans, Male, Porosity, Plastic Surgery Procedures, Prostheses and Implants
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