Reconstruction of acquired partial auricular defects by porous polyethylene implant and superficial temporoparietal fascia flap in adult patients.

Abstract

Six patients with acquired partial auricular defects with various causes were treated with porous polyethylene implants and superficial temporoparietal fascia flaps. The mean of the auricular defects was 39 percent (range, 27 to 61 percent). The defects were situated in different parts of the auricles. Helical rim implants and/or ultrathin sheet implants were used as frameworks and covered with superficial temporoparietal fascia flaps. The symmetry of the reconstructed ears was satisfactory, and the cosmetic appearance was acceptable for all patients. Neither skeletal collapse nor flattening of the lateral helical rim was seen in any of the patients. Minor revision was required for debulking of the pedicle in one early patient. No additional complications were encountered. The authors recommend using this single-stage combined technique for reconstruction of various types of partial auricular defects in adult patients.