Ear epistheses as an alternative to autogenous reconstruction

Area of Science:

• Medical device technology
• Otolaryngology
• Plastic surgery

Background:

• Ear episthesis (ear prosthesis) is an artificial auricle replacement.
• Modern silicones and colorings have significantly advanced prosthetic development.
• Bone anchorage offers the most reliable retention for ear prostheses.

Purpose of the Study:

• To review modern advancements in ear episthesis retention methods.
• To highlight the benefits of implant-retained prostheses.
• To compare prosthetic rehabilitation with reconstructive surgery.

Main Methods:

• Review of retention techniques including medical adhesives and bone anchorage.
• Discussion of titanium implant systems: Brånemark flange fixture, ITI system, Epitec grids, and Epiplating plates.
• Mention of subcutaneous double magnet system as a latest development.

Main Results:

• Titanium implants enable long-lasting osseointegration with reaction-free skin penetration.
• Grouped implant systems (grids, plates) offer secure retention, even in difficult anatomical situations, and resist torque.
• Implant-retained ear prostheses provide optimal camouflage, predictable outcomes, and rapid rehabilitation without donor site morbidity.

Conclusions:

• Implant-retained ear prostheses represent a significant advancement over non-invasive methods.
• Modern prosthetic rehabilitation offers a viable and often superior alternative to plastic reconstructive surgery.
• These devices facilitate early detection of tumor recurrence and improve patient quality of life.