Reconstruction of the external ear after a burn is particularly challenging. The nature of the injury poses many problems including @entity3145 , poor blood supply, and the lack of adequate and appropriate materials for a framework. The use of costochondral grafts often leads to marginal outcomes which do not justify the morbidity. @entity1 under the age of 10 years commonly have insufficient cartilage for a graft. Medpor (Stryker, Kalamazoo, MI) offers minimal morbidity and a very effective result. In this series, the authors describe the experience using Medpor and scalp tissue expansion to reconstruct severely burned ears. A total of 16 pediatric @entity1 underwent 18 reconstructions, with two @entity1 receiving bilateral procedures. All @entity1 received Medpor implants. Thirteen @entity1 were tissue expanded under the subgaleal plane before reconstruction, for concomitant scalp alopecia reconstruction. Eleven temporoparietal fascial flaps were performed. In the remaining @entity1 , coverage of the implant was achieved by local advancement flaps. Only two @entity1 had complications, with exposure of the construct after several years. In these two cases, the implants were removed. The experience has shown porous @entity691 reconstruction to be very efficient, with low morbidity and good cosmetic outcomes. Medpor is an excellent option for the reconstruction of both fully and partially burned ears as you may implant only the helical rim, base, or both pieces. The best results were achieved after tissue expansion and the use of the alopecic skin overlying a @entity4438 . This has become the preferred method.

Burn Ear Reconstruction Using Porous XXXX Implants and Tissue Expansion.

@entity1 :: ('9606', 'Species') :: ['patients', 'Children'] @entity4438 :: ('MESH:C563219', 'Disease') :: ['temporoparietal fascial flap'] @entity691 :: ('MESH:D020959', 'Chemical') :: ['polyethylene'] @entity3145 :: ('MESH:D017695', 'Disease') :: ['excessive scar tissue']
@entity691 :: (MESH:D020959,Chemical) :: ['Polyethylene']
