Rehabilitation of auricular defect with implant-retained auricular prosthesis - A case report (original) (raw)
2021, Annals of Maxillofacial Surgery
Loss of any facial structure is associated with psychological impact compromising the self-confidence of an individual. External ear is an integral part of the face, and loss of any part of the auricular structure in an individual changes his esthetics and overall appearance, hereby affecting his mental status. Absence of auricle results in an asymmetric, distorted appearance which may not affect function to a great extent, but patient's psychological state and self-esteem are affected deeply. Etiology of auricular defect can be congenital or acquired, and reconstruction of such defects can be surgical or prosthetic. Surgical reconstruction involves many steps and surgeries, and still, predictability of outcome is not reliable. Further, if cartilage reconstruction has to be planned, it will involve two site of the surgeries and it is not generally accepted by the patient due to added difficulty. [1] In these conditions, silicone prosthesis provides a reliable replacement and a predictable treatment modality. [2] The common problem faced in rehabilitating auricle defect with silicone prosthesis is mode of retention. Methods to achieve retention in conventional auricular prosthesis include soft tissue undercuts, adhesives, or mechanical methods (using hair band/spectacle). However, their retention may be compromised, or patient has to wear additional accessories. Specific to this case report more conventional methods of retention of auricular prosthesis
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