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Single-stage MedPor microtia reconstruction is an advanced surgical technique that can be performed endoscopically. 1. Single-Stage Surgery: Unlike traditional rib cartilage grafts, which often require multiple surgeries, MedPor reconstruction can typically be completed in a single stage. This reduces the overall treatment time and minimizes the number of surgeries a patient must undergo. 2. Endoscopic Approach: Using endoscopic techniques allows for smaller incisions and more precise placement of the MedPor implant. This minimally invasive approach can lead to quicker recovery times and less scarring.   3. Procedure: During the surgery, a high-density polyethylene (MedPor) implant is shaped to resemble the ear and is then covered with the patient's own tissue, usually harvested from beneath the scalp. The endoscopic method helps in accurately positioning the implant and ensuring good vascularization. 4. Benefits: ·         Early Age: This procedure can be performed on children as young as 3 to 5 years old. ·         Reduced Pain and Scarring: The endoscopic approach and single-stage nature of the surgery result in less postoperative pain and minimal visible scarring. 5. Improved Aesthetics: The MedPor implant can be customized to closely match the natural ear, providing better cosmetic results. 6. Considerations: As with any surgical procedure, there are risks, including infection and implant extrusion. However, these risks are generally low, and the benefits often outweigh the potential complications. This innovative approach offers a promising option for children with microtia, providing both functional and aesthetic improvements with fewer surgeries and faster recovery.
The suitable age for microtia surgery generally depends on the type of surgical procedure being considered and the child's physical and psychological readiness. Here are some guidelines: ·         Rib Cartilage Graft: This type of surgery is typically performed when the child is between 8 to 10 years old. At this age, the rib cartilage is sufficiently developed to provide a robust framework for the new ear. ·         MedPor Implant: This procedure can be done earlier, often around 3 to 5 years old. However, it carries a higher risk of complications such as infection. ·         General Considerations: It's important for the child to be psychologically mature enough to understand and consent to the surgery. Waiting until the child is older can also ensure better symmetry with the opposite ear and allow for more robust cartilage grafts. Ultimately, the decision should be made in consultation with a specialist who can assess the child's specific needs and readiness for surgery.
After extensive research, the team led by Associate Professor Dr. Nguyen Hong Ha has pioneered the world's first 'Superficial Temporal Artery Anatomical Classification,' which is now utilized in reconstructive surgery for microtia. This remarkable achievement by Dr. Ha and his colleagues represents a significant advancement in anatomical research and reconstructive surgery for congenital microtia deformities in children
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