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Techniques of Endoscopic Ossiculoplasty
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Osseointegrated implants and auricular defects: a case series study.

Robert F Wright1, Candice Zemnick, Jack J Wazen

  • 1Advanced Graduate Prosthodontics, Harvard School of Dental Medicine, Boston, MA 02115, USA. robert_wright@hsdm.harvard.edu

Journal of Prosthodontics : Official Journal of the American College of Prosthodontists
|June 12, 2008
PubMed
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A Prospective Multicenter Study on the Performance of a Bone-Anchored Hearing Implant Using Minimally Invasive Ponto Surgery.

Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·2025
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Benefits of unilateral cochlear implantation in adults with asymmetric hearing loss: Audiologic and patient-related outcome measures.

American journal of otolaryngology·2023
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A survey on utilization and barriers of digital removable prostheses in the US dental education.

Journal of dental education·2023
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Vestibular dysfunction in cochlear implant candidates: Prevalence and outcomes.

American journal of otolaryngology·2021
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Expanding the indications for the bone anchored hearing system (BAHS) in patients with single sided deafness.

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Post-operative infection rates in linear vs. punch technique for bone anchored hearing systems.

American journal of otolaryngology·2020

Extraoral implants for auricular prostheses demonstrated a 100% survival rate in 16 patients. This study highlights bone-anchored titanium implants as a safe, reliable, adhesive-free solution for auricular reconstruction.

Area of Science:

  • Medical Engineering
  • Prosthodontics
  • Reconstructive Surgery

Background:

  • Auricular defects often require prosthetic rehabilitation.
  • Traditional methods may involve adhesives, which can be problematic.
  • Extraoral implants offer a potential solution for stable prosthesis retention.

Purpose of the Study:

  • To report the survival rate of extraoral implants in the auricular region.
  • To analyze treatment outcomes for auricular prostheses.
  • To discuss clinical variables impacting treatment success.

Main Methods:

  • Retrospective follow-up of 16 patients receiving extraoral dental implants for auricular prostheses (1987-2003).
  • Data collection included patient demographics, implant details, prosthesis information, and complications.

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  • Presurgical evaluation by a multidisciplinary team (prosthodontists, facial prosthetist, otolaryngologist) and use of surgical templates.

    • Main Results:

    • A total of 39 implants were placed in 16 patients, achieving a 100% survival rate.
    • All patients reported complete satisfaction with their reconstructions.
    • No surgical or prosthetic failures occurred; soft tissue inflammation was managed effectively.

    Conclusions:

    • Bone-anchored titanium implants provide a 100% survival rate for auricular prostheses.
    • These implants offer a safe, reliable, and adhesive-free method for auricular reconstruction.
    • Multidisciplinary team guidance optimizes implant positioning for successful prosthodontic rehabilitation.