ABSTRACT Background: Current techniques in partial auricular reconstruction can utilize an autologous or alloplastic framework covered by a variety of soft tissue envelopes. Objective: Is to evaluate the benefit of using polypropylene mesh to reconstruct helix framework in partial auricular defects covered with local postauricular skin flap. Method: Eleven patients with partial auricular defect were treated by using polypropylene mesh helix framework which is covered with post auricular flap in a two stage repair; clinical results of the procedure were evaluated. Results: This technique achieved satisfactory results in 9 (81.8%) cases. Early Post operative complications: Hematoma formation in one case, mild infection in two cases, edema in two cases, and Partial overlying skin breakdown in one case with failure of technique. Late Post operative complications: Hypertrophic scar in one case, narrow retroauricular sulcus in one case, hair bearing skin over the auricle in one case. Conclusion: It is a simple technique, with satisfactory clinical results, easily done, even under local anesthesia, with no donor site morbidity of autogenous cartilage harvesting, not costly as other alloplastic substitutes, large series and longer follow up period are needed for better evaluation of this technique.
Cite this paper
A. F. Mehanna, "Reconstruction of Partial Auricular Defects by Polypropylene Mesh Helix Framework," Modern Plastic Surgery, Vol. 2 No. 3, 2012, pp. 49-53. doi: 10.4236/mps.2012.23013.
 B. Brent, “The Acquired Auricular Deformity, a Systemic Approach to Its Analysis and Reconstruction,” Plastic and Reconstructive Surgery, Vol. 59, No. 4, 1977, pp. 475-485. doi:10.1097/00006534-197704000-00001
 E. Anesti, R. Karoo and A. Phipps, “Auricular Reconstruction with the Use of a Modified Rhomboid Flaps,” European Journal of Plastic Surgery, Vol. 33, No. 5, 2010, pp. 311-313. doi:10.1007/s00238-010-0501-x
 R. Bernd, “Reconstruction of the External Ear after Trauma or Tumor Surgery, Master Class in Plastic Surgery,” European Journal of Plastic Surgery, Vol. 28, No. 1, 2005, pp. 7-16.
 G. Ellabbam, M. I. Maamoun and M. Elsharkawi, “The Bi-Pedicle Post-Auricular Tube Flap for Reconstruction of Partial Ear Defects,” British Journal of Plastic Surgeons, Vol. 56, No. 6, 2003, pp. 593-598.
 S. Jain, P. Kumar and L. M. Bariar, “Total Auricular Reconstruction with Autogenous Costal Cartilage Framework for Congenital Microtia (Grade-III),” Indian Journal of Otolaryngology and Head and Neck Surgery, Vol. 54, 2002, p. 3.
 G. Osorno, “A 20-Year Experience with the Brent Technique of Auricular Reconstruction: Pearls and Pitfalls,” Plastic and Reconstructive Surgery, Vol. 119, No. 5, 2007, pp. 1447-1463.
 R. L. Walton and E. K. Beahm, “Auricular Reconstruction for Microtia,” In: M. Z. Siemionow and M. Eisenmann-Klein, Eds., Plastic and Reconstructive Surgery, Springer-Verlag, London, 2010.
 H. Fischer, W. Gubisch and V. Sinha, “Auricular Reconstruction—Our Experience at Marine Hospital Stuttgart, Germany, Original Article,” Indian Journal of Otolaryngology and Head & Neck Surgery, Vol. 62, No. 2, 2010, pp. 162-167.
 Y. Zhao, Y. Wang, H. Zhuang, et al., “Clinical Evaluation of Three Total Ear Reconstruction Methods,” Journal of Plastic, Reconstructive & Aesthetic Surgery, Vol. 62, No. 12, 2009, pp. 1550-1554.
 P. S. Bhandari, “Total Ear Reconstruction in Post Burn Deformity,” Burns, Vol. 24, No. 7, 1998, pp. 661-670.
 B. Brent, “Auricular Repair with Autogenous Rib Cartilage: Two Decades Experience with 600 Cases,” Plastic and Reconstructive Surgery, Vol. 90, No. 3, 1992, pp. 355-373. doi:10.1097/00006534-199209000-00001
 T. Wellisz, “Clinical Experience with the Medpor Porous Polyethylene Implant Aesth,” Aesthetic Plastic Surgery, Vol. 17, No. 43, 1993, pp. 339-344.
 S. Ohmori, “Reconstruction of Microtia Using the Silastic Frame,” Clinics in Plastic Surgery, Vol. 5, No. 3, 1978, pp. 379-387.
 A. Berghaus, et al., “Ear reconstruction with porous polyethylene implants,” Adv Otorhinolaryngol, Vol. 68, 2010, pp. 53-64. doi:10.1159/000314562
 J. L. Piero Ibanez, et al., “Auricular Alloplastic Reconstruction with Osteointegrated Implants, a New Therapy Option in Microtia,” Cir Pediatr Journal, Vol. 13, 2000, pp. 25-29.
 T. Romo, M. S. Fozo and A. P. Sclafani, “Microtia Reconstruction Using a Porous Polyethylene Framework,” Facial Plastic Surgery, Vol. 16, No. 1, 2000, pp. 15-22.
 T. Wellisz, “The Reconstruction of the Burned External Ear Using a MEDPOR Porous Polyethylene Pivoting Helix Framework,” Plastic and Reconstructive Surgery, Vol. 91, No. 5, 1993, pp. 811-818.
 M. Sengezer, M. Turegun, S. Isik and M. Sezgin, “Reconstruction of the Microtic External Ear in Adults Using Porous Polyethylene Implant,” European Journal of Plastic Surgery, Vol. 19, No. 6, 1996, pp. 314-317.
 J. F. Reinisch and S. Lewin, “Ear Reconstruction Using a Porous Polyethylene Framework and Temporoparietal Fascia Flap,” Facial Plastic Surgery, Vol. 25, No. 3, 2009, pp. 181-189. doi:10.1055/s-0029-1239448
 S. A. Zim, “Microtia Reconstruction: An Update,” Current Opinion in Otolaryngology & Head and Neck Surgery, Vol. 11, No. 4, 2003, pp. 275-281.
 S. Nasser, “Improvement of the Aesthetic Outcome and Reduction of the Donor Site Morbidity in Autogenous Microtia Reconstruction, Egypt,” Plastic and Reconstructive Surgery, Vol. 33, No. 2, 2009, pp. 245-251.
 H. Y. Jiang, et al., “Surgical Treatment of Acquired Ear Defect Chinese Article,” Zhonghua Zheng Xing Wai Ke Za Zhi, Vol. 23, No. 2, 2007, pp. 106-108.
 A. Cordova, et al., “Retroauricular Skin: A Flaps Bank for Ear Reconstruction,” Journal of Plastic, Reconstructive & Aesthetic Surgery, Vol. 61, Suppl. 1, 2008, pp. 44-51.