EARLY AND ONLY ONE STAGE RECONSTRUCTION OF MICROTIA BY MEDPOR IMPLANT AND RIB CARTILAGE WITH ENDOSCOPIC ASSISTED TECHNIQUE AT HANOI

Nguyễn Hồng Hà, Trần Thị Thanh Huyền, Nguyễn Thu Hằng, Nguyễn Thị Hương Giang, Ngô Hải Sơn

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Abstract

Ear reconstruction still a big challenge for Plastic surgeon. The complex anatomy of the external ear and the necessity to provide good projection and 3D symmetry make this reconstruction particularly difficult. The aim of this paper is to report our result of early and only one stage ear reconstruction by Medpor Polyethylene implant and autologous costal cartilage with endoscopic assisted technique at Ha Noi, Viet Nam. To archive the best aesthetic result and diminue complication rates, all temporoparietal fascia flap was harvested by single – incision endoscopic technique.  Before surgery patients has been check with audiologist specialists to determine the combination treatment for hearing loss. Results postoperative have been considered satisfactory by all patients and their family. Low morbidity, the good results obtained and a high rate of patient satisfaction make this techniques become ideal choices for reconstruction surgery of the ear.

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References

1. Trần Thị Thanh Huyền, Bùi Mai Anh, Vũ Trung Trực, Đỗ Ngọc Linh, Đào Văn Giang, Nguyễn Hồng Hà. Kết quả tạo hình tai do khuyết tai toàn bộ tại bệnh viện Việt Đức. Y học việt nam - tháng 12 - tập 425. Tr 151 – 158, 2014
2. Biskup N., Martin MC. A True Single-Stage Reconstruction of a Projected Auricle for Concha-Type Microtia Incorporating Endoscopically Harvested Temporoparietal Fascia. J Craniofac Surg. 2015 Sep;26(6):1930-2.
3. Brent, B., and Byrd, H. Secondary ear reconstruction with cartilage grafts covered by axial, random, and free flaps of temporoparietal fascia. Plast. Reconstr. Surg. 72: 141, 1983.
4. Helling ER, Okoro S, Kim G 2nd, Wang PT. Endoscope-assisted temporoparietal fascia harvest for auricular reconstruction. Plast Reconstr Surg. 2008 May;121(5):1598-60.
5. Nagata, S. Modification of the stages in total reconstruction of the auricle: Part IV. Ear elevation for the constructed auricle. Plast. Reconstr. Surg. 93: 254, 1994.
6. Park C, Mun HY. Park C, Lew DH, Yoo WM. An analysis of 123 temporoparietal fascial flaps: anatomic and clinical considerations in total auricular reconstruction. Plast Reconstr Surg 1999;104(5):1295–1306
7. Reinisch JF, Lewin S. Ear reconstruction using a porous polyethylene framework and temporoparietal fascia flap. Facial Plast Surg. 2009 Aug;25(3):181-9
8. Reinisch J, Tahiri Y. Polyethylene Ear Reconstruction: A State-of-the-Art Surgical Journey. Plast Reconstr Surg. 2018 Feb; 141(2): 461-470.