- Skin graft from postauricular area
- Chrondrocutaneous graft
Place the ear is elevated from the skull and a graft of skin is placed to gain “protrusion” of the ear.
PRE OPERTIVE AND POST OPERATIVE MICROTIA RECONSTRUCTION.
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.
The Medpor (porous polyethylene) framework is sculptured to match the size and shape of the opposite normal ear.
A graft of skin in taken behind the normal ear to help “cover” the Medpor framework.
Another graft of skin is taken from the “belly’ also to cover the Medpor framework.
This skin graft from the belly is sutured to the back of the normal ear.
The sculptured Medpor implant is sutured into proper place.