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Outcome of Auricular Reconstruction with Porous Polyethylene Frameworks: Our 10 Years of Experience with 113 Children and Adults
This study evaluates the surgical outcome and patient benefit after auricular reconstruction with porous polyethylene frameworks and temporoparietal fascia flaps in both children and adults. A total of 161 patients who had undergone auricular reconstruction between 2003 and 2014 by doctors in our department were asked to answer both a validated health-related quality-of-life questionnaire (Glasgow Benefit Inventory or Glasgow Children's Benefit Inventory) and a questionnaire reporting satisfaction, complaints, and complications with the reconstructed pinna. Furthermore, postoperative surgical complications were recorded. A total of 113 patients (89 individuals older than 14 and 24 children under the age of 14) returned the questionnaires. About 80% of the patients were satisfied with the results of their auricular reconstruction. The main complaints concerned scars and the shape. Patients' quality of life was correlated with their postoperative aesthetic satisfaction. Thus, framework extrusion was the principal factor affecting patients' satisfaction, whereas treatable postoperative complications did not interfere with the overall quality of life. Interestingly, children indicated greater benefit from auricular reconstruction than older patients. With regard to the patient's feeling of being physically healthy after auricular reconstruction, partial pinna reconstruction and reconstruction without simultaneous hearing restoration should be very carefully considered. Auricular reconstruction using a porous polyethylene framework significantly increases the patients' health-related quality of life and leads to significant patient satisfaction, especially in the case of younger patients.
18 June 2021 (online)
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- 1 Porter CJ, Tan ST. Congenital auricular anomalies: topographic anatomy, embryology, classification, and treatment strategies. Plast Reconstr Surg 2005; 115 (06) 1701-1712
- 2 Weerda H. Classification of congenital deformities of the auricle. Facial Plast Surg 1988; 5 (05) 385-388
- 3 Jiamei D, Jiake C, Hongxing Z, Wanhou G, Yan W, Gaifen L. An investigation of psychological profiles and risk factors in congenital microtia patients. J Plast Reconstr Aesthet Surg 2008; 61 (Suppl. 01) S37-S43
- 4 Johns AL, Lucash RE, Im DD, Lewin SL. Pre and post-operative psychological functioning in younger and older children with microtia. J Plast Reconstr Aesthet Surg 2015; 68 (04) 492-497
- 5 Berghaus A, Toplak F. Surgical concepts for reconstruction of the auricle. History and current state of the art. Arch Otolaryngol Head Neck Surg 1986; 112 (04) 388-397
- 6 Cabin JA, Bassiri-Tehrani M, Sclafani AP, Romo III T. Microtia reconstruction: autologous rib and alloplast techniques. Facial Plast Surg Clin North Am 2014; 22 (04) 623-638
- 7 Berghaus A, Stelter K, Naumann A, Hempel JM. Ear reconstruction with porous polyethylene implants. Adv Otorhinolaryngol 2010; 68: 53-64
- 8 Robinson K, Gatehouse S, Browning GG. Measuring patient benefit from otorhinolaryngological surgery and therapy. Ann Otol Rhinol Laryngol 1996; 105 (06) 415-422
- 9 Kubba H, Swan IR, Gatehouse S. The Glasgow Children's Benefit Inventory: a new instrument for assessing health-related benefit after an intervention. Ann Otol Rhinol Laryngol 2004; 113 (12) 980-986
- 10 Braun T, Gratza S, Becker S. et al. Auricular reconstruction with porous polyethylene frameworks: outcome and patient benefit in 65 children and adults. Plast Reconstr Surg 2010; 126 (04) 1201-1212
- 11 Soukup B, Mashhadi SA, Bulstrode NW. Health-related quality-of-life assessment and surgical outcomes for auricular reconstruction using autologous costal cartilage. Plast Reconstr Surg 2012; 129 (03) 632-640
- 12 Steffen A, Wollenberg B, König IR, Frenzel H. A prospective evaluation of psychosocial outcomes following ear reconstruction with rib cartilage in microtia. J Plast Reconstr Aesthet Surg 2010; 63 (09) 1466-1473
- 13 Braun T, Patscheider M, Berghaus A, Hempel J. Scars after total ear reconstruction with porous polyethylene: the patients' perspective. Eur J Plast Surg 2013; 36: 413-416
- 14 Hempel JM, Braun T, Patscheider M, Berghaus A, Kisser U. Partial auricular reconstruction with porous polyethylene frameworks and superficial temporoparietal fascia flap. Eur Arch Otorhinolaryngol 2014; 271 (10) 2761-2766