Objective: Bone-anchored auricular prostheses (BAAPs) are indicated for treatment of congenital or acquired microtia in children. This paper reports on our experience in establishing a BAAP program, including treatment algorithms, protocols and a discussion of the methodology, complications and patient satisfaction.
Methods: Eleven consecutive children using BAAPs were reviewed. Outcome measures include patient selection criteria, long-term stability of the BAAP, skin reactions around the site, and patient satisfaction.
Results: A patient selection program was developed and implemented, followed by a management protocol for surgery and follow-up. All children (100%) achieved osseointegration, with only one site revision necessary. A variable degree of skin irritation was noted in just over one third (39%) of cases. All children were satisfied with their prosthesis.
Conclusions: The use of BAAPs in a pediatric population is a safe and viable method to correct disfiguring microtia. The final result is generally very acceptable to the child.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/s0165-5876(02)00252-5 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Management of Bone Bridge Exposure Using Superficial Temporal Island Flap After Auricle Reconstruction and Bone Bridge Implantation.
J Craniofac Surg
October 2024
Department of Comprehensive Plastic Surgery.
Article Synopsis
- - Congenital microtia impacts both the appearance and hearing in patients, particularly those with bilateral microtia, but a combined approach of auricular reconstruction and bone bridge implantation has shown positive results.
- - A study of 84 patients treated between January 2017 and December 2020 noted a low complication rate with only 3.6% experiencing bone bridge exposure, which was effectively repaired using a superficial temporal island flap.
- - The findings suggest that auricular reconstruction with bone bridge implantation is a viable option for bilateral microtia, offering low implant exposure rates and effective repair techniques that minimize scarring.
A custom auricular implant healing abutment: A dental technique.
J Prosthet Dent
July 2023
Professor, Department of Maxillofacial and Plastic Surgery, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.
Skin overgrowth is a complication that hinders bone-anchored prosthetic ear rehabilitation. In order to accurately transfer the healing skin for prosthetic reconstruction, this article introduces a custom-made autopolymerizing acrylic resin auricular cap (button) through indirect pick up of the metal housing. The caps are secured during the healing stage to shape the skin, preventing surgical edema, swelling, and skin overgrowth in patients suffering from keloid reactions from covering the implant abutments.
View Article and Find Full Text PDFNew Osia® OSI200 active transcutaneous bone-anchored hearing device: how I do it.
Eur Arch Otorhinolaryngol
February 2023
Department of Otolaryngology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Introduction: The new Osia® OSI200 implant incorporates a receiver coil and Piezo Power™ Transducer into one monolithic unit. Appropriate planning and surgical approach is needed for suitable positioning of the device.
Method: To optimise the surgical field and provide tension-free wound closure our team have adopted a versatile 'Sheffield-S' post-auricular incision which remains hidden within the hairline.
Bridging form and function: A bilateral auricular prosthesis.
J Indian Prosthodont Soc
December 2022
Department of Prosthodontics and Crown and Bridge, Army Dental Center (Research and Referral), New Delhi, India.
Unfortunate loss or absence of an ear has a far-reaching impact on an individual psyche. Auricular defects are seen commonly due to trauma, congenital abnormalities, and malignancies which result in disfigurment of the pinna. Rehabilitation of an auricular defect with a custom-made auricular prosthesis improves social acceptance and self-confidence in an individual.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!