TAILIEUCHUNG - Aesthetic Microtia Reconstruction with Medpor

That public face has or may have an extra dimension – sprezzatura. The term, used by Baldassar Castiglione in his work ‘The book of the courtier’, was described by Stemp (2006, 6) as ‘a lightness of touch that a well educated man should have in a variety of activities such as music painting and writing’. Though determined by its time, the term anticipates the evolution of aesthetic labour. That is the main thrust, the main question of this paper. Castiglione goes on to state (1528, 67) that sprezzatura is ‘to practise in all things a certain nonchalance. | Aesthetic Microtia Reconstruction with Medpor Thomas Romo III and Shari D. Reitzen ABSTRACT The complex architecture of the auricle makes it one of the most challenging structures for the reconstructive surgeon to re-create. Overlying the ear s unique cartilage framework are layers of varied soft tissues forming a three-dimensional organ which is distinctively positioned on the head. Arguably the most challenging auricle to reconstruct is third-degree microtia due to a near-total absence of native tissue and a need for lifelong durability of the reconstruction. Many methods of reconstruction have been studied autogenous costal cartilage reconstruction has been one of the more traditional methods with favorable long-term results reported by several surgeons. However this technique requires tremendous artistic and technical skill on the part of the surgeon-sculptor to construct a realistic-appearing ear. High-density porous polyethylene Medpor is a stable alloplastic implant that can integrate with host tissues is resistant to infection and has been successfully applied to reconstruction of the head and neck. For auricular reconstruction Medpor enveloped in a temporoparietal fascial flap with full-thickness skin graft coverage is a durable and aesthetically gratifying alternative in microtic patients. This alternative surgical technique reduces surgical time and morbidity standardizes results among surgeons and facilitates an aesthetic natural-appearing reconstruction of the auricle. KEYWORDS Medpor auricular framework microtia temporoparietal flap The external ear is a critical component of the overall aesthetic balance and contour of the face. Its characteristic three-dimensional topography consists of interrelated length width and lateral projection such that even slight alterations in the size shape location or position of the ear are easily recognized especially when compared with an opposite normal ear. The auricle itself is intricately formed from

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