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Auricular Prostheses in Microtia.

Philippe A Federspil1

  • 1Department of Oto-Rhino-Laryngology, University Hospital Heidelberg, INF 400, Heidelberg 69120, Germany.

Facial Plastic Surgery Clinics of North America
|November 21, 2017
PubMed
Summary

Modern auricular prostheses, using silicones and titanium implants, offer inconspicuous rehabilitation for microtia patients. Advanced computer planning and 3D printing promise to revolutionize the creation of these custom-fit, mirrored ear prosthetics.

Keywords:
Bone anchorageEar prosthesisOsseointegrationPinnaSiliconeTitanium implant

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Area of Science:

  • Medical Engineering
  • Biomaterials Science
  • Reconstructive Surgery

Background:

  • Microtia, a congenital condition, often necessitates reconstructive solutions for aesthetic and functional restoration.
  • Traditional auricular reconstruction methods present challenges in achieving natural appearance and patient satisfaction.
  • Advancements in materials like silicones and titanium implants offer new possibilities for auricular prostheses.

Purpose of the Study:

  • To highlight the efficacy of silicone and percutaneous titanium implants in creating inconspicuous auricular prostheses for microtia rehabilitation.
  • To emphasize the crucial role of skilled anaplastologists in achieving successful outcomes.
  • To explore the potential of computer science, virtual planning, and rapid prototyping in revolutionizing prosthetic auricular rehabilitation.

Main Methods:

  • Utilizing advanced silicone materials for prosthesis fabrication.
  • Employing percutaneous titanium implants for stable prosthesis anchoring.
  • Leveraging virtual planning and rapid prototyping technologies for precise prosthesis design and manufacturing.

Main Results:

  • Achieved inconspicuous auricular prostheses that provide camouflage for microtia patients.
  • Enabled the creation of prostheses as mirrored replicas of the contralateral ear, ensuring predictable and satisfactory outcomes.
  • Demonstrated the potential for computer-aided design and manufacturing to enhance the prosthetic rehabilitation process.

Conclusions:

  • Silicones and percutaneous titanium implants represent a significant advancement in auricular prosthetics for microtia.
  • The expertise of anaplastologists remains central to the success of prosthetic rehabilitation.
  • Computer science integration is poised to transform the field, offering more predictable and efficient solutions for auricular reconstruction.