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Medpor Q & A

1. What is Medpor Ear Surgery?

Medpor 귀 수술 is a surgical technique to treat Microtia that uses a biocompatible polyethylene implant (Medpor) as a structural framework, which is then covered by the body’s own tissue to create an ear.

2. How long has Medpor been around?

에 1982, 박사. Alexander Berkhaus recognized that porous polyethylene (commonly known as Medpor or Su-Por) is a tissue friendly, stable and infection-resistant framework material for use in ear reconstruction. Porous ear implants have been used in the U.S. since 1991. 과거에 10 년, the technique has become progressively more elegant and reliable. Although very few people in the world specialize in this technique, it has become the sole accepted surgical alternative to the more traditional option of Rib Cartilage Ear Reconstruction. 소이증 수술을 수행하는 데 필요한 전문 기술로 인해, 그것은이 기술을 사용하여 외과 의사 광범위한 경험을 가지고하는 것이 좋습니다. As expected, results are optimized and complications are minimized when you choose a surgeon who performs the Medpor Technique on a regular basis.

3. Why use Medpor over Rib Cartilage?

One of the greatest advantages of Medpor Ear Reconstruction is that the surgery can be performed when a child turns 3 살, allowing for completion of the entire process well before the child enters kindergarten (even with bilateral Microtia).

Early reconstruction minimizes anxiety for the child as well as feelings of being “different.” There is another advantage of early completion of the surgery: the delicate, thin tissues used to cover the Medpor often show more definition in a 3 or 4-year-old than in older children or teenagers, who have thicker tissues.

In comparison to the Rib Cartilage surgery, the Medpor technique offers several other advantages: less pain, no inpatient hospitalization, fewer surgeries, lower cost, earlier restoration of hearing and, often, a more symmetric, natural-appearing ear.

Click here for a direct Comparison of Medpor and Rib Cartilage.

4. How does Medpor work?

Medpor is a biocompatible porous polyethylene material with a unique structure of interconnecting pores (or holes), which allows integration of the flap’s blood vessels into the implant. This quality protects the ear reconstruction, as the patient’s own vascularized tissue completely covers and integrates into the implant.

Medpor is the gold standard for the most non-reactive substance that can be used in the human body.[1]
과거에 20+ 년, Medpor has been successfully used in over 250,000 cranial, oculoplastic, reconstructive and cosmetic surgeries.

[1] J. P. Rubin and M. J. Yaremchuk, “Complications and toxicities of implantable biomaterials used in facial reconstructive and aesthetic surgery: a comprehensive review of the literature,” Plastic and Reconstructive Surgery, vol. 100, no. 5, pp. 1336–1353, 1997.)

Close-up photo of Medpor’s porous polyethylene structure

5. How is the Medpor Ear Made?

The Medpor implant comes as two individual pieces, which are then artfully sculpted and soldered together into a realistic framework to create a natural-appearing ear for your child. This 2-piece design allows your child’s surgeon to create an ear of any size and shape and, in the case of unilateral Microtia, to match the unique shape of the normal ear. Similarly, the amount of ear projection (distance of the ear from the head) can be easily controlled in order to match the other ear in the first operation, rather than adjusting projection in a subsequent procedure.

Unlike cartilage, the Medpor material is very strong, so details of the ear (like the rim) can be very delicate and thin while remaining strong enough to hold its shape. 이 속성은 대용 물로 Medpor 귀 재건술은 매우 자연스럽게 할 수 있습니다, 그리고 반대편 귀 대칭.

왼쪽으로, 대용 물로 Medpor의 두 가지 기본 조각으로 임플란트, 오른쪽에, 주문 후.

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6. What is the Medpor covered with, and where does the skin graft come from?

The Medpor implant is 100% covered with a thin, vascularized “living” membrane called the Temporoparietal Fascia. We refer to it as a “TPF flap.” The entire key to success of Medpor surgery lies in the dissection of this flap. It is removed from under the scalp as a two-layered (bilaminar) membrane that envelops the implant. The deeper layer integrates into the Medpor while the superficial layer supports the skin that covers the new ear. Each of the two layers can move relative to one another, which protects the ear.

Once the flap is in place, it is covered with skin. There are several options to obtain the skin grafts, including the area around the Microtia, the opposite ear, the scalp, the lower abdomen/groin area, or the upper, inner arm.

8. How many surgeries are needed?

One or two outpatient surgeries are performed.
If your child has bilateral Microtia (both ears), two or three surgeries are required.

10. 얼마나 많은 고통을 내 자식 경험하게 될 것입니다?

Each child is unique in how they handle pain, but generally speaking, Medpor Ear Surgery is not very painful. Some children never require any pain medications, while others do experience discomfort. Most patients are prescribed Tylenol with Codeine for 1 에 3 days after surgery.

11. How can a three-year-old possibly cooperate with such a complex surgery?

Many surgeons who perform the Rib Cartilage procedure believe it’s unsafe to perform ear reconstruction on children younger than 6 살. No doubt they believe that to be the case, but since the Rib Cartilage technique requires the child to be at least 6, these surgeons have never operated on a 3-year-old! By comparison, surgeons who specialize in Medpor Ear Reconstruction have performed hundreds of surgeries on 3-year-olds with no adverse affects.

Children are amazing! A little “tender loving care” goes a long way to help young children understand and cooperate with the postoperative course. The ear is also well protected with a dressing, so there is little harm that can be done.

Watch 3-year-old Neabella go through Medpor surgery:

12. If Medpor is done as early as 3 이전 년, how does the ear look as the child grows up?

Anthropometric studies of the growth of a human ear show that at 3 이전 년, the length of the ear is 80% of normal adult size. By 6 살, the ear is 90% adult length. Therefore, based on the child’s age, the size of the opposite ear, and the size of the parents’ ears, the final adult size is estimated by your child’s surgeon, and an appropriately sized implant is made.

13. 얼마나 귀를 치유하기 전에?

Right after surgery, the Medpor ear is very swollen and the skin grafts are purple and pink. 귀를위한 컵 보호 3 주. The ear takes on its final shape at around 6 months after the 1 stage surgery. After that point, no specific long-term care of the ear is required beyond cleaning periodically.

14. What happens to a Medpor ear over a lifetime?

Medpor has been successfully used in surgical reconstruction for over 30 년. To date, the Medpor ear implants have been well accepted by the body with no evidence of deterioration. 그러나, since the ear implants have only been in use for 25 년, the stability over one’s lifetime cannot be established.

15. 제한이 스포츠 내 아이를 위해 무엇인가?

Ear reconstruction won’t limit your child from pursuing the activities he or she enjoys. 당신의 아이는 정상적인 활동으로 돌아갈 수 있습니다 6 주 수술 후, including all sports. As with 어떤 child playing a sport, appropriate protective equipment for the particular sport (helmets for biking, baseball, football, lacrosse, hockey, etc) should always be worn. Many children with Medpor Ear Reconstructions have gone on to play competitive sports as they grew older.

16. Does a Medpor ear have sensation and will it heal like a normal ear?

Several months after the initial surgery, your child will develop sensation in the Medpor ear. The sensation comes from the “living membrane” flap that is used to cover the implant. The sensation will never be exactly the same as a normal ear, 그러나.

The flap covering the Medpor implant has a rich blood supply, which allows it to heal from the typical bumps, cuts and bruises your child will experience. 그러나, if a direct force hits a Medpor ear, 확실히 재건에 손상이있을 수 있습니다. Another reason to wear a helmet when engaging in sports!

17. Can the Medpor ear fracture?

예, the Medpor can fracture. If this happens, an outpatient surgery is required to remove the old implant and replace it with a new implant. In early 2011, 박사. Lewin changed the way she constructed the Medpor implant to significantly increase the strength of the implant. Since that time, no fractures have been seen in any of her patients.

18. If a Medpor ear reconstruction fails, 그것을 복원 할 수 있습니다?

예. Many patients have had successful “redo” Medpor ear surgery. Under rare circumstances, a Medpor ear reconstruction may fail due to a significant problem with the flap that cannot be repaired. 이 발생하는 경우, the Medpor must be removed, and the body allowed to heal for 6 개월. Another Medpor ear reconstruction is then performed using a different flap adjacent to the original flap.

19. How will a Medpor ear be different than my child’s normal ear?

어떤 수술 귀 재건 "정상적인"귀처럼 자연스럽게 할 수 없습니다. 가장 주목할만한 차이는 대용 물로 Medpor 리브 연골 모두 귀 복원은 자연 귀 수행 방식을 구부리지 수 있다는 것입니다, 프레임 워크는 흉터 형성의 세력에 저항하는 강한해야하므로.