gms | German Medical Science

79. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

30.04. - 04.05.2008, Bonn

Partial ear reconstruction with Medpor®, own experiences and results

Meeting Abstract

Suche in Medline nach

  • corresponding author T. Günzel - Klinikum Frankfurt (Oder) GmbH, ENT-Department, Frankfurt (Oder), Germany
  • K. Stork - Klinikum Frankfurt (Oder) GmbH, ENT-Department, Frankfurt (Oder), Germany
  • N. Heinze - Klinikum Frankfurt (Oder) GmbH, ENT-Department, Frankfurt (Oder), Germany

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 79th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Bonn, 30.04.-04.05.2008. Düsseldorf, Köln: German Medical Science; 2008. Doc08hno75

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/hno2008/08hno75.shtml

Veröffentlicht: 8. Juli 2008

© 2008 Günzel et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objective: Searching the ideal implant for reconstructing the auricle will probably remain unsuccessful. The use of Medpor® for auricle reconstruction is nevertheless, an innovation which might bring us closer to a normal shaped auricle. The operating surgeon does not only save time and therefore money, but can also reach a satisfying result with this new implant type.

Material and methods: The Medpor® implant consists of two elements, the helix and the auricle base. The implant is made of porous polyethylene. The implant can be used for total and for partial auricle reconstruction. For partial auricle reconstruction the surgeon can easily modify the implant to adapt the implant to the defect.

The implant is then covered completely with a flap of temporoparietal fascia and is then covered with skinflaps or full skin grafts.

Results: Since there was no need to harvest rib cartilage, the operating time was dramatically shortened, and the morbidity reduced. The Medpor® implant was easily modified to the auricle defect. In our case we did not see implant rejection.

The patient's time in hospital was reduced. The cosmetic result in our case was very good.

Conclusions: The abandonment to harvest rib cartilage for partial and total auricle reconstruction shows a significant time advantage towards using Medpor® implants. It is also less invasive, shows a high form stability and we think, using Medpor® implants is an easy and practicle method for partial and total auricle reconstruction.

It is still too early to say that Medpor® is the ideal implant for auricle reconstruction. From our experience and other users Medpor® shows at least equivalence if not advantages compared to reconstruction with rip cartilage.