J Adv Prosthodont.  2011 Jun;3(2):101-105. 10.4047/jap.2011.3.2.101.

Prosthodontic rehabilitation of a patient with bilateral auricular deformity

• Mantri SS
• Thombre RU
• Pallavi D

• KMID: 1975085
• DOI: http://doi.org/10.4047/jap.2011.3.2.101

Abstract

Maxillofacial prosthodontics is an art and science which provides life like appearance to the person with facial deformity. Maxillofacial prosthetic rehabilitation for acquired defects has become more complex and sophisticated with advancement in techniques and materials. This case report describes the clinical and laboratory procedure for fabricating an auricular prosthesis for a patient with trauma related bilateral auricular deformity. Ear prosthesis was fabricated in two parts taking retention from external auditory canal.

Keyword

Maxillofacial prosthodontics; Ear prosthesis; Auricular deformity; External auditory canal

MeSH Terms

Congenital Abnormalities
Ear
Ear Canal
Humans
Prostheses and Implants
Prosthodontics
Retention (Psychology)

Figure

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  Fig. 1 The existing portion of external ear. A: right side, B: Left side.

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  Fig. 2 Impression of the canal in silicone putty.

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  Fig. 3 Internal component in heat polymerized clear acrylic.

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  Fig. 4 Wax Pattern attached with internal attachment. A: front view, B: side view.

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  Fig. 5 Ear prosthesis in position on face. A: right side, B: left side.

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  Fig. 6 A: pre treatment front view of the face, B: post treatment front view of the face.

Reference

1. Ozturk AN, Usumez A, Tosun Z. Implant-retained auricular prosthesis: a case report. Eur J Dent. 2010. 4:71–74.

2. Beumer J, Zlotolow I. Beumer J, Curtis TA, Firtell DN, editors. Restoration of facial defects: etiology, disability, and rehabilitation. Maxillofacial rehabilitation: prosthodontic and surgical considerations. 1979. St. Louis: C.V. Mosby;328–340.

3. van Doorne JM. Extra-oral prosthetics: past and present. J Invest Surg. 1994. 7:267–274.

4. Pham TV, Early SV, Park SS. Surgery of the auricle. Facial Plast Surg. 2003. 19:53–74.

5. Lemon JC, Kiat-amnuay S, Gettleman L, Martin JW, Chambers MS. Facial prosthetic rehabilitation: preprosthetic surgical techniques and biomaterials. Curr Opin Otolaryngol Head Neck Surg. 2005. 13:255–262.

6. Andres C. Survey of materials used in extra-oral maxillofacial prosthetics. Proceedings of Materials Research in Maxillofacial Prosthetic Academy of Dental Materials. 1992. Chicago, IL. 25–40.

7. Godoy AJ, Lemon JC, Nakamura SH, King GE. A shade guide for acrylic resin facial prostheses. J Prosthet Dent. 1992. 68:120–122.

8. Lawrence EB. Aston SJ, Beasley RW, Thorne CHM, editors. Craniofacial and Maxillofacial Prosthetics. Grabb and Smiths Plastic Surgery. 1997. Fifth Edition. Philadelphia: Lippincott-Raven Publishers;463–471.

9. Brånemark PI, Albrektsson T. Titanium implants permanently penetrating human skin. Scand J Plast Reconstr Surg. 1982. 16:17–21.

10. Wolfaardt J, Gehl G, Farmand M, Wilkes G. Indications and methods of care for aspects of extraoral osseointegration. Int J Oral Maxillofac Surg. 2003. 32:124–131.

11. Andres C, Haug S. Taylor TD, editor. Facial prosthesis fabrication: technical Aspects. Clinical Maxillofacial Prosthetics. 2000. Chicago, IL: Quintessence Publishing Co., Inc;233–244.

12. Armero O, McCombs R. The loop otoblock placement method: Why and how to use it for deep fittings. Hearing J. 2000. 53:66–68.

13. Pirzanski C. The anatomy of perfect ear impression. The Hearing Review. 1998. 5:20–24.

14. Chartrand MS. Identifying external ear canal neuroreflexes in hearing health practice. 2005. Rye, Colorado: DigiCare Hearing Research and Rehabilitation.

15. Oliviera R, Babcock M, Venem M, Hoeker G, Parish B, Kolpe V. The Dynamic ear canal and its Implications: The problem may be the ear, and not the impression. Hearing Review. 2005. 12:18–19.

16. Thorne CH, Brecht LE, Bradley JP, Levine JP, Hammerschlag P, Longaker MT. Auricular reconstruction: indications for autogenous and prosthetic techniques. Plast Reconstr Surg. 2001. 107:1241–1252.

17. Ciorba A, Martini A. Tissue engineering and cartilage regeneration for auricular reconstruction. Int J Pediatr Otorhinolaryngol. 2006. 70:1507–1515.

18. Hecker DM. Maxillofacial rehabilitation of a large facial defect resulting from an arteriovenous malformation utilizing a two-piece prosthesis. J Prosthet Dent. 2003. 89:109–113.

19. Staudenmaier R. Aesthetics and Functionality in Ear Reconstruction. Adv Otorhinolaryngol. 2010. 68:65–80. Basel, Karger.

20. dos Santos DM, Goiato MC, Pesqueira AA, Bannwart LC, Rezende MC, Magro-Filho O, Moreno A. Prosthesis auricular with osseointegrated implants and quality of life. J Craniofac Surg. 2010. 21:94–96.

21. Lemon JC, Chambers MS, Wesley PJ, Martin JW. Technique for fabricating a mirror-image prosthetic ear. J Prosthet Dent. 1996. 75:292–293.

22. Davis BK. The role of technology in facial prosthetics. Curr Opin Otolaryngol Head Neck Surg. 2010. 18:332–340.