Abstract
Auricular reconstruction, known as the “surgical art,” is one of the most difficult
and complex surgeries in medicine. There are two different techniques that involve
either the use of artificial material like porous polyethylene (PE) or the patient's
own rib cartilage graft. The patient's indication, age, conditions requiring previous
failed surgeries, and the surgeon's skill in creating the frame are the most important
factors in the choice of technique. Both methods are performed in our clinic in Vienna.
We experienced more complications in the early cases using PE due to surgical inexperience.
The advantages of PE, such as the fact that it is a single-stage surgery, favorable
aesthetic appearance (definition and projection), and the possibility of combining
the reconstruction with bone conduction devices or active middle ear implants and
performing in older patients, can be compared with its disadvantages, such as greater
complications. Both techniques require the acquisition of considerable skill and tricks,
and for this reason it is important that a skilled surgeon who has mastered these
auricular reconstruction skills is available to teach the next generation.
Keywords
rib cartilage - porous polyethylene - auricular reconstruction
