Category Archives: Ear Presentation

Creation of Tragus

  • Skin graft from postauricular area
  • Chrondrocutaneous graft

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Elevation of Framework

Place the ear is elevated from the skull and a graft of skin is placed to gain “protrusion” of the ear.

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PRE OPERTIVE AND POST OPERATIVE MICROTIA RECONSTRUCTION.  

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Identification of Vascularity

We are now using a more effective procue that uses MEDPOR (a porous poly-ethylene framework) instead of ribs.  This reconstruction is accomplished in only TWO to THREE outpatient procedures.  We need to identify the vascularity of the blood vessels in the scalp as illustrated in this slide.

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Sculpturing of Implant

The Medpor (porous polyethylene) framework is sculptured to match the size and shape of the opposite normal ear.

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Post Auricular Skin Graft

A graft of skin in taken behind the normal ear to help “cover” the Medpor framework.

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Abdomenal Skin Graft

Another graft of skin is taken from the “belly’ also to cover the Medpor framework.

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Skin Graft from Abdomen

This skin graft from the belly is sutured to the back of the normal ear.

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Medpor Implant

The sculptured Medpor implant is sutured into proper place.

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Temporoparietal Fascial Flap

Tissue from the scalp (temporoparietal fascia) is folded onto the Medpor framework.

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  • Superior Temporal vessels
  • 11 to 12 cm
  • Facial nerve
  • Folded over