Volume 13, Pages (September 2017)

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Presentation transcript:

Volume 13, Pages 53-61 (September 2017) The use of medpor as a projection block for the elevation of the constructed auricle in total auricular reconstruction Young Soo Kim JPRAS Open Volume 13, Pages 53-61 (September 2017) DOI: 10.1016/j.jpra.2017.05.011 Copyright © 2017 The Author(s) Terms and Conditions

Figure 1 (a) Medpor (a high-density porous polyethylene) framework for total ear reconstruction including the helical rim and ear base. (b) The ear base. Its height is 20 mm, while the length of its thick portion is 53 mm. JPRAS Open 2017 13, 53-61DOI: (10.1016/j.jpra.2017.05.011) Copyright © 2017 The Author(s) Terms and Conditions

Figure 2 The Medpor block used for the elevation of the constructed right ear. (a) Its concave shape fits well with the posterior contour of the reconstructed ear. (b) Posterior view. Note the step-ladder shape of the block, with a thin-upper portion and a thick-lower portion for stability. JPRAS Open 2017 13, 53-61DOI: (10.1016/j.jpra.2017.05.011) Copyright © 2017 The Author(s) Terms and Conditions

Figure 3 Intraoperative view. Note the elevated framework and the implanted Medpor block. JPRAS Open 2017 13, 53-61DOI: (10.1016/j.jpra.2017.05.011) Copyright © 2017 The Author(s) Terms and Conditions

Figure 4 The temporoparietal fascial flap was passed through the subcutaneous tunnel to the posterior surface of the elevated auricle and the implanted Medpor block. JPRAS Open 2017 13, 53-61DOI: (10.1016/j.jpra.2017.05.011) Copyright © 2017 The Author(s) Terms and Conditions

Figure 5 Immediate postoperative view. Note the anteriolateral (a) and posterior view of the elevated auricle (b). JPRAS Open 2017 13, 53-61DOI: (10.1016/j.jpra.2017.05.011) Copyright © 2017 The Author(s) Terms and Conditions

Figure 6 Case 1. A 22-year-old man with right lobule-type microtia. (a) Preoperative view. (b) Appearance of the constructed ear 7 months after the first-stage operation. Anterolateral (c) and posterior views of the constructed ear 2 years and 3 months after elevation (d). JPRAS Open 2017 13, 53-61DOI: (10.1016/j.jpra.2017.05.011) Copyright © 2017 The Author(s) Terms and Conditions

Figure 7 Case 2. A 15-year-old boy with right lobule-type microtia. (a) Preoperative view. (b) Appearance of the constructed ear 5 months after the first-stage operation. Anterolateral (c) and posterior views of the constructed ear 1 year and 3 months after elevation (d). JPRAS Open 2017 13, 53-61DOI: (10.1016/j.jpra.2017.05.011) Copyright © 2017 The Author(s) Terms and Conditions