Creation of Tragus
- Skin graft from postauricular area
- Chrondrocutaneous graft
Elevation of Framework
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.
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.
Sculpturing of Implant
The Medpor (porous polyethylene) framework is sculptured to match the size and shape of the opposite normal ear.
Post Auricular Skin Graft
A graft of skin in taken behind the normal ear to help “cover” the Medpor framework.
Abdomenal Skin Graft
Another graft of skin is taken from the “belly’ also to cover the Medpor framework.
Skin Graft from Abdomen
This skin graft from the belly is sutured to the back of the normal ear.
The sculptured Medpor implant is sutured into proper place.