Otoplasty with High Density Polyethylene Implant (MEDPOR(R)).

Lee, Keun Cheol; Kwon, Yong Seok; Heo, Jung; Moon, Ju Bong; Kim, Seok Kwun

Original Article

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2009;36(2):167-173.
Published online March 1, 2009.

Otoplasty with High Density Polyethylene Implant (MEDPOR(R)).

Keun Cheol Lee, Yong Seok Kwon, Jung Heo, Ju Bong Moon, Seok Kwun Kim

Department of Plastic & Reconstructive Surgery, College of Medicine, Dong-A University, Busan, Korea. pokdungi@daunet.donga.ac.kr

Abstract

PURPOSE
The key points of treatment of cryptotia are the elevation of invaginated ear helix and the correction of deformed cartilage. Prevention of stabilized cartilage contouring from returning to the previous state is also important. The authors carried otoplasty by modified Onizuka's method or Ohmori's method that conchal cartilage graft or high density polyethylene implant(MEDPOR(R)) graft served as fixation after spreading posterior aspect of adhered antihelix and a splint for prevention of recurrence of cartilage deformities. The aim of this study is to reveal the availability of the high density polyethylene implant(MEDPOR(R)) graft for the correction of cryptotia. METHODS: We have repaired 17 cryptotic deformities using cartilage graft from cavum of concha(12 cases) or high density polyethylene implant(5 cases) for correction of deformed cartilage. We investigate the operative time, complications, and satisfaction of postoperative ear shape on both autogenous cartilage graft group and high density polyethylene implant graft group.
RESULTS
There was 1 case of reinvagination on autogenous cartilage graft group. Implant exposure was occurred on high density polyethylene implant graft group, as 1 case. These were statistically no differences between autogenous cartilage graft group and high density polyethylene implant graft group to the satisfaction of ear shape.
CONCLUSION
High density polyethylene implant (MEDPOR(R)) present an alternative to autogenous material as they allow of fibrovascular ingrowth, leading to stability of the implant and decreased infection rates. The correction of deformed cartilage by using the high density polyethylene implant(MEDPOR(R)) is a good option for the treatment of cryptotia.

Keywords: Cryptotia; Cartilage graft; High density polyethylene implant(MEDPOR(R))