Abstract

PEREZ-GONZALEZ, Araceli; PEREZ-DOSAL, Marcia R.; ISAAK-GARCIA, Jesús  and  GONZALEZ-MARTINEZ, Marcos. Prosthetic reconstruction with osseointegrated implants: the best option for auricular reconstruction. Preliminary report. Bol. Med. Hosp. Infant. Mex. [online]. 2006, vol.63, n.5, pp.307-313. ISSN 1665-1146.

Introduction. The external ear is a sophisticated and complex structure. The most frequent congenital ear deformity is microtia. The different reconstructive methods are focused in reproducing the natural reliefs of the ear, with different aesthetics results. Material and methods. Microtia patients who were seen between 2002 to 2004. The external prosthetic device was designed taking the pattern of the normal ear. In patients with bilateral microtia the ear pattern of a family member was used. Placements of the osseointegrated implants was carried out, and after 6 months of integration the scarring screws were placed in order fix de prosthesis Results. Thirty four microtia patients were included, 20 were males, the median age was 9.5 years. The most frequent clinical presentation was unilateral microtia (n =31). The surgical time for the procedure averaged: 35 min. All patients had appropriate integration of the implant. The aesthetic result of the prosthetic reconstruction was very satisfactory. In the follow-up period (1.5 years) we found an hypertrophic scar in 1 patient, no complications were associated to the use of prosthetic reconstruction and no patient required prosthetic replacement. Conclusions. The prosthetic reconstruction with osseointegrated implants is an efficient reconstructive method, with little morbidity and excellent aesthetic result.

Keywords : Microtia; prosthetic reconstruction; osseointegrated implants; auricular reconstruction.