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In this video, Dr. Christopher Derderian discusses the article, “Polyethylene Ear Reconstruction: A State-of-the-Art Surgical Journey” by Reinisch and Tahiri, which appears in the February 2018 issue of Plastic and Reconstructive Surgery, Volume 141 Issue 2: https://journals.lww.com/plasreconsur... The use of a porous high-density polyethylene implant for ear reconstruction is gradually gaining acceptance because it allows for a pleasing ear reconstruction in young children before they enter school. In response to this growing interest, the authors decided to write an article clarifying in detail all the steps of this challenging procedure. In this article, the authors also answer all the common questions that surgeons have when they come to observe the operation, or when they go back to their respective practices and start performing this procedure.