Application of both over-expanded cutaneous flap and temporal superficial fascia flap in ear reconstruction with Medpor
10.3760/cma.j.issn.1671-0290.2012.01.006
- VernacularTitle:乳突区超量扩张皮瓣与颞浅筋膜瓣联合包裹多孔高密度聚乙烯支架全耳廓成形术
- Author:
Hang JI
;
Susheng WANG
;
Gang LIANG
;
Zhihua ZHANG
;
Chun HOU
- Publication Type:Journal Article
- Keywords:
Over-expanded;
Fascia flap;
Medpor;
Ear reconstruction
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2012;18(1):16-18
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the feasibility and results of the application of both expanded cutaneous flap and temporoparietal fascia flap in total ear reconstruction with Medpor framework.Methods The main procedures consisted of three stages:stage Ⅰ-skin expansion,stage Ⅱ auricle formation that consisted of orientation of Medpor implant and creation of coverage for the implant by both expaned skin flap and temporoparietal fascia flap,and stage Ⅲ-treatment of residual ear and recontruction of auricular lobule. Results Twenty-two ears in 22 unilateral microtia patients were constructed using Medpor implants covered with both expanded cutaneous flap and temporoparietal fascia flap over the last three years,and they were accepted as pleasing by the patients.Conclusions Application of both expanded cutaneous flap and temporoparietal fascia flap can assure no extrusion of Medpor implant in ear reconstruction.Further more,the two layers of transferred tissues will not affect the profile details of the reconstructed ear.And because the skin covering the framework and fascia is derived from frommastoid region,the appearance and profile of the reconstructed auricle is true to nature and close to that of the opposite one.
