Complications and Management of Alloplastic Ear Reconstruction

  • John F. ReinischEmail author
  • Youssef TahiriEmail author


Auricular reconstruction is a challenging procedure. Because microtia is relatively uncommon and has a significant learning curve, complications, especially as one gains experience, are inevitable. While a good surgeon learns to treat complications, an excellent surgeon has learned to avoid them. In this chapter, we will highlight the potential complications associated with the use of porous high-density polyethylene framework for ear reconstruction. We will also discuss the management of these complications and how to prevent them.


Microtia Ear reconstruction Polyethylene implant Complications 

Supplementary material

Video 7.1

Shrink-wrapping of the STPF flap over the implant once the suction is applied (MOV 3244 kb)


  1. 1.
    Reinisch J. Ear reconstruction in young children. Facial Plast Surg. 2015;31(6):600–3.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Keck School of MedicineUniversity of Souther CaliforniaLos AngelesUSA
  2. 2.Craniofacial and Pediatric Plastic SurgeryCedars Sinai Medical CenterLos AngelesUSA
  3. 3.Plastic and Reconstructive SurgeryCedars-Sinai Medical CenterLos AngelesUSA

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