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[Bone-anchored auricular prosthesis]

M Bille1, P Homøe, S Vesterhauge

  • 1Rigshospitalet, øre-, naese-, halsafdeling F., København.

Ugeskrift for Laeger
|October 3, 1994
PubMed
Summary
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Bone-anchored auricular prostheses offer significant cosmetic and functional advantages over adhesive methods for patients with absent or defective pinna. While daily skin care presents challenges, this treatment is a viable alternative to surgical reconstruction.

Area of Science:

  • Otorhinolaryngology
  • Biomaterials Science
  • Plastic Surgery

Context:

  • Congenital or acquired absence/defects of the pinna (auricle) affect numerous patients.
  • Traditional treatments include adhesive-anchored prostheses or complex surgical reconstruction.
  • Bone-anchored auricular prostheses (BAAPs) offer a novel approach to auricular reconstruction.

Purpose:

  • To evaluate the outcomes of bone-anchored auricular prostheses in patients with absent or defective pinna.
  • To assess patient satisfaction, complication rates, and long-term results.
  • To compare BAAPs with traditional adhesive prostheses and surgical reconstruction.

Summary:

  • Fifteen patients with pinna defects received BAAPs between 1989 and 1991.
  • Titanium implants were used, with one failure due to non-integration and five patients requiring additional surgery for complications.

Related Experiment Videos

  • All patients reported high satisfaction with the cosmetic results and prosthesis attachment, though skin care around abutments was a concern for nearly half.

    • Impact:

    • BAAPs provide a highly satisfactory cosmetic outcome and are less invasive than surgical reconstruction.
    • The technique offers considerable advantages over adhesive-attached prostheses.
    • Long-term daily skin care and reliance on healthcare services are notable disadvantages.