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Flap or graft concerns delay travel."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"Check dressing, flap, graft and framework cover; may occur before discharge if stay is longer."}},{"purpose":"suture_removal","requirement":"routine","after":{"min":7,"max":10,"unit":"days","qualifier":"Removal of scalp and graft-site sutures or dressings according to healing."}},{"purpose":"assessment","requirement":"conditional","after":{"min":4,"max":8,"unit":"days","qualifier":"Days after surgery, once discharged: skin cover, ear position and activity clearance."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Review of shape, skin cover, scalp hair and any revision discussion."}}],"indications":["Acquired total or near-total ear loss, e.g. trauma or burns","Total ear defect after tumor resection with healthy local tissue"],"main_risks":["Implant exposure through the fascia or skin","Implant or flap infection, possibly requiring implant removal","Temporoparietal fascia flap compromise or skin graft loss","Hematoma or bleeding","Scalp hair loss or scarring at the flap donor site","Facial nerve frontal branch injury (rare)","Altered sensation","Asymmetric or unsatisfactory aesthetic result","Need for revision surgery","Anesthesia-related risks"],"pain":"Moderate pain in the first days, usually controlled with prescribed oral analgesics. Scalp and skin graft donor-site soreness is common and improves over weeks.","preparation":["Surgical consultation assessing the defect, skin quality and scalp","Vascular assessment of superficial temporal vessels, often with Doppler","Photographs and planning with a template from the opposite ear","Preoperative medical assessment and fitness for general anesthesia","Stop smoking and nicotine before and after surgery","Hair clipping at the scalp site as instructed","Discuss expectations, alternatives (rib cartilage, prosthesis) and implant exposure risk","Fasting as instructed by the anesthetic team"],"recovery_timeline":[{"phase":"Hospital monitoring","description":"Usually 1-4 nights of inpatient flap and graft monitoring after general anesthesia, with oral analgesics. Gentle walking starts when allowed.","restrictions":["No pressure on the operated ear","Keep dressings in place and dry","No smoking or nicotine"]},{"phase":"Early home recovery (about weeks 1-2)","description":"Wound and graft checks, then suture removal. Light daily activity and walking are encouraged.","restrictions":["Avoid sleeping on the operated side","No lifting or straining as advised","Avoid hair products or heat near the scalp incision"]},{"phase":"Weeks 2-6","description":"Swelling settles and return to desk or light work is common. Ear protection continues.","restrictions":["Avoid pressure, knocks, tight headwear or glasses on ear","No contact activities","Avoid sun on the graft"]},{"phase":"Weeks 6-12","description":"Non-contact exercise may resume with surgeon clearance. Contact sports usually stay restricted longer.","restrictions":["Protect the ear from trauma","Avoid extreme cold or heat exposure on the ear"]},{"phase":"Months 3-12","description":"Swelling resolves and graft color and scalp hair settle toward the final appearance. Result review is held.","restrictions":["Lifelong protection from trauma, cold and sun injury"]},{"phase":"At any time","description":"Seek prompt assessment for exposed implant, dusky, blue or pale ear, worsening swelling or pain, discharge, fever, spreading redness or bleeding.","restrictions":["Do not wait for a scheduled visit","Do not manipulate or press on the ear"]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Return to routine daily activities after uncomplicated surgery, without formal physiotherapy; depends on healing and ear protection."},"result_longevity":"The porous polyethylene framework is permanent and usually keeps its shape if covered by healthy tissue. Late exposure after trauma or infection may need revision or removal.","revision_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Unplanned revision, graft repair or implant removal within 2 years; varies with cause, radiotherapy and smoking."},"scars":"Expected scars are a temporoparietal scalp incision, usually hidden within the hair, and a skin graft donor-site mark, with no rib-harvest scar in this protocol. Scalp hair thinning along the incision can occur.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One operative session for the primary single-stage protocol."},"stages":[{"code":"operation","label":"Framework placement, fascia flap coverage and skin graft","after":{"min":0,"max":0,"unit":"days","qualifier":"After Day of ear reconstruction surgery: Performed on the day of surgery."}},{"code":"inpatient_monitoring","label":"Inpatient flap and graft monitoring until discharge","after":{"min":1,"max":4,"unit":"days","qualifier":"After Day of ear reconstruction surgery: Uncomplicated course; discharge when flap and graft look viable and pain is controlled."}}],"qualifier":"Primary single-stage protocol; revision surgery or other techniques are outside this range."},"success":{"metric":"Framework retained with stable skin cover and acceptable ear shape, without implant removal","value":80,"unit":"percent","horizon":"12 months after surgery","population":"Selected adults with acquired total ear loss and healthy temporoparietal fascia; ear shape only.","evidence_status":"limited"},"techniques":[{"name":"Single-stage porous polyethylene framework with temporoparietal fascia flap and skin graft (primary protocol)","suits_whom":"Selected adults with acquired total ear loss and healthy temporoparietal fascia who prefer one stage and no rib harvest","recovery":"Short inpatient monitoring, then several weeks of protecting the ear from pressure and trauma; exposure risk needs ongoing review"},{"name":"Autologous rib cartilage multistage reconstruction","suits_whom":"Patients without suitable fascia or who prefer an autologous framework","recovery":"Multiple stages with chest donor-site discomfort and activity restrictions after each stage"}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":6,"unit":"hours","qualifier":"Operating time for the primary single-stage porous polyethylene, fascia flap and skin graft procedure; excludes anesthesia induction and recovery."},"initial_assessment_documents":["Front and both side photos of the ears","Close-up photos of the ear defect","Scalp photos showing temple and hairline","Operative or injury report","Previous ear surgery records (if available)","Head and neck CT scan (if available)"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single-stage surgery; about 10-14 days abroad until first checks clear travel; later reviews at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Discuss the procedure and its complication plan with the healthcare professional performing it","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should discuss the plan for addressing complications related to the treatment or procedure with both their U.S. healthcare professional and the healthcare professional performing the treatment or procedure outside the United States.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"C2","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Expect two consultations with the treating surgeon before any surgery, which also gives you time to reconsider","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-13","next_check_at":"2027-02-11"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home clinicians need documentation of medical care received abroad for subsequent follow-up","document":"overseas medical records","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/what-to-do-when-sick-abroad.html","host":"cdc.gov","quote":"Request documentation of any medical care received abroad, including medications, and share with healthcare professionals delivering subsequent care while traveling and at home.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"T2","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T5","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-13","next_check_at":"2027-02-11"},"technique_details":{"status":"ok","items":[{"id":"single-stage-porous","name":"Single-stage porous polyethylene framework with temporoparietal fascia flap and skin graft (primary protocol)","how_it_works":{"text":"A prefabricated artificial framework creates the ear shape","source":{"url":"https://www.chop.edu/treatments/ear-reconstruction-surgery","host":"chop.edu","quote":"An alternative technique for ear reconstruction uses a pre-fabricated artificial porous polyethylene framework to create the ear shape.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"autologous-rib-cartilage","name":"Autologous rib cartilage multistage reconstruction","how_it_works":{"text":"Rib cartilage creates a three-dimensional ear sculpture","source":{"url":"https://www.chop.edu/treatments/ear-reconstruction-surgery","host":"chop.edu","quote":"During the initial stage, cartilage is taken from the ribs and used to create a three-dimensional sculpture that looks like a normal ear.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=thailand/city=bangkok/procedure=rekonstrukcia-usnoj-rakoviny/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":53930},"manualSeo":[],"updatedAt":"2026-11-14T00:40:08.582Z","activeCountries":["TR","TH","KR"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}