Auricular reconstruction with polyethylene implants or silicone prosthesis: A single institution experience
Basel Al Kadah1, Andreas Naumann2, Mathias Schneider3
1Department of Otorhinolaryngology, University Medical Centre, Homburg, Saar, Germany.
Summary
Auricular reconstruction using silicone or porous polyethylene prostheses shows good results. Both methods are valuable for ear reconstruction, with low complication rates and positive functional outcomes for patients.
Area of Science:
- Plastic Surgery
- Biomaterials Science
- Otolaryngology
Background:
- Auricular reconstruction is crucial for patients with congenital malformations, trauma, or cancer affecting the ear.
- Prosthetic reconstruction offers an alternative to autologous tissue grafts.
Purpose of the Study:
- To compare the outcomes of auricular reconstruction using silicone prostheses versus porous polyethylene implants.
- To evaluate implant survival, complication rates, and functional results of both prosthetic materials.
Main Methods:
- Retrospective analysis of 39 patients (2002-2013) who received auricular reconstruction with silicone (21) or porous polyethylene (18) implants.
- Assessment of implant failures, operative revisions, and postoperative side effects.
Main Results:
- No implant failures were observed in either group.
- Operative revisions were needed in 5 silicone prosthesis patients and 4 porous polyethylene patients.
- Porous polyethylene group had 11.1% retroauricular adhesions; silicone group had 71.4% skin reactions around titanium implants.
Conclusions:
- Both silicone prostheses and porous polyethylene are effective for auricular reconstruction.
- Both techniques demonstrate low severe complication rates and good functional outcomes, making them viable options for patients.
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