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Related Experiment Videos

An evaluation of auricular prosthesis using osseointegrated implants.

M Jacobsson1, A Tjellström, L Fine

  • 1ENT-Department, Sahlgren's Hospital, University of Gothenburg, Sweden.

Clinical Otolaryngology and Allied Sciences
|December 1, 1992
PubMed
Summary

Osseointegrated implants significantly improve patient acceptance and daily use of auricular prostheses compared to adhesive retention. Patients reported higher satisfaction and comfort, with most experiencing better durability and no skin irritation.

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Area of Science:

  • Reconstructive surgery
  • Biomaterials science
  • Patient-reported outcomes

Background:

  • Facial prostheses, particularly auricular prostheses, are crucial for restoring aesthetics and function.
  • Traditional adhesive retention methods can present challenges in terms of stability, comfort, and skin irritation.
  • Osseointegrated implants offer a potential alternative for more secure and stable prosthesis retention.

Purpose of the Study:

  • To evaluate and compare patient acceptance and prosthesis longevity between osseointegrated implant-supported auricular prostheses and those retained by adhesive.
  • To assess patient satisfaction with various aspects of the prosthesis, including retention, aesthetics, and comfort.

Main Methods:

  • A survey was conducted among 47 patients with Brånemark fixture-retained facial prostheses.

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  • Patients reported on ease of retention, satisfaction with shape and color, ease of positioning, skin irritation, daily wear, and compared new prosthesis experience with previous adhesive methods.
  • Durability of the prosthesis was also assessed.

    • Main Results:

    • 91% of patients reported ease of retention with osseointegrated implants.
    • Patient satisfaction was high: 100% for shape, 85% for color, and 98% for ease of positioning.
    • 94% wore their prosthesis daily, and none experienced skin irritation.
    • Comparing with previous adhesive methods, 92% reported improved retention, and all noted better ease of positioning and wearing comfort.
    • Prosthesis durability was reported as better by 62% of patients with prior experience.

    Conclusions:

    • Osseointegrated implant-supported auricular prostheses demonstrate superior patient acceptance and comfort compared to adhesive-retained prostheses.
    • This method significantly enhances prosthesis retention, ease of use, and daily wear, leading to improved quality of life.
    • While durability perceptions vary, the overall benefits in patient satisfaction and functional outcomes support osseointegration as a preferred retention method.