Medpor Ear Reconstruction
A newer method of reconstruction utilizes a synthetic framework instead of rib cartilage. The framework is made from Medpor - a synthetic porous polyethylene. Unlike the rib cartilage method where the cartilage framework is placed under the scalp, this framework is placed on the outside of the scalp and is then covered with a living membrane. The porous material allows blood vessels from the membrane to grow through the implant over time. Therefore, the framework is very well tolerated.
This technique of ear reconstruction was developed by Dr. John Reinisch who has used the method since 1991. This surgery is performed in one stage if a tragus is present or two stages if the tragus is absent. When Dr Reinisch performs this surgery, these procedures are done without the need for overnight hospitalization because of the minimal discomfort involved.
During the 1st surgery, the framework is placed in position and then covered with the child’s own tissues. If an ear lobe is present it is usually transported to the correct location. The 2nd surgery is performed about 3 to 6 months after the first surgery to complete the ear reconstruction. This generally involves fine tuning the ear and creating a tragus and the illusion of an ear canal.
Medpor reconstruction can be done at a younger age since this method is not dependent on the patient having sufficient rib cartilage to make the framework. The procedure can be performed on children from the age of 3 years old.
If your child is a candidate for atresia repair (to create an ear canal) and you choose to have this surgery, it shoulld be done before the Medpor ear reconstruction.
The best known Medpor ear reconstruction surgeons in the world include Dr John Reinisch (United States) and Dr Thomas Romo (United States). Until recently, this method or ear reconstruction has not been available in Australia, but some patients have travelled to the United States to have this procedure.
The Royal Children’s Hospital in Melbourne has just begun offering Medpor as an alternative. The doctors familiar with this method are Dr Chris Coombs & Dr Andrew Greensmith.
Contact Us if you would like to read first hand experiences from parents whose children have had this surgery.
