Craniofacial Prosthetic Reconstruction: A 25-Year Anaplastology Experience

Area of Science:

• Reconstructive surgery
• Prosthodontics
• Medical device technology

Background:

• Craniofacial anaplastology offers prosthetic rehabilitation for defects from congenital conditions, trauma, or cancer.
• Limited large-scale data exists on adult populations undergoing anaplastology.
• Advances in osseointegration and materials have improved prosthetic capabilities.

Purpose of the Study:

• To analyze demographic, clinical, and socioeconomic factors of adult anaplastology patients.
• To determine if socioeconomic status affects service utilization or patient outcomes.
• To provide a comprehensive overview of adult craniofacial prosthetic rehabilitation.

Main Methods:

• Retrospective review of 1057 adult patients over 25 years.
• Analysis of 333 patients who received auricular prostheses.
• Categorization of residential ZIP codes into income levels (high, middle, low).

Main Results:

• Mean patient age was 52.1 years; 76.3% were male.
• Auricular defects (30.8%) were common, with congenital microtia (38.1%) being a primary cause.
• No significant differences in prosthetic service utilization or mortality were found across income groups.

Conclusions:

• Adult anaplastology treats a varied patient group with diverse defect origins.
• Socioeconomic status did not influence prosthetic service access, implant use, or mortality.
• Equitable outcomes are suggested for patients accessing specialized anaplastology care.