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Subperiosteal Implants for Auricular Reconstruction in the Setting of Significant Temporal Bone Defects
Yu Jin Jeong1, Masako Dunn1,2, Sophie Fleming1
1Department of Head and Neck Surgery, Chris O'Brien Lifehouse, Sydney, New South Wales, Australia.
ANZ Journal of Surgery
|June 4, 2025
Summary
This study introduces subperiosteal implants for auricular reconstruction after temporal bone cancer surgery. This novel technique offers a reliable aesthetic solution for patients with significant defects, showing promising functional outcomes.
Area of Science:
- Plastic Surgery
- Oncology
- Biomedical Engineering
Background:
- Current auricular reconstruction methods are often insufficient for extensive temporal bone defects post-cancer resection.
- Significant defects require advanced techniques for aesthetic and functional restoration.
Purpose of the Study:
- To describe a novel auricular reconstruction technique using subperiosteal implants.
- To evaluate the feasibility and outcomes of this method in patients with malignancy-related defects.
Main Methods:
- Virtual surgical planning (VSP) and subperiosteal implant placement.
- Retrospective case series of patients undergoing reconstruction with free flaps.
- Utilized IPS Implants Craniofacial Epithesis for prosthetic retention.
Main Results:
- Three patients received subperiosteal implants for auricular defects due to basal cell and squamous cell carcinoma.
- Reconstructions involved anterolateral thigh or radial forearm free flaps.
- No surgical complications or implant losses occurred; two patients achieved functional prosthetic retention.
Conclusions:
- Subperiosteal implant-retained auricular reconstruction is feasible after temporal bone resection for malignancy.
- This technique offers robust aesthetic rehabilitation post-oncological resection.
- Further long-term data is needed to confirm reliability and quality-of-life outcomes.
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