소아의 골에 부착시킨 실리콘 귀 = BONE ANCHORED EAR PROSTHESIS IN CHILDREN

다국어 초록 (Multilingual Abstract)

Osseointegrated titanium implants and skin-penterating abutments placed in the upper portion of the mastoid mastoid process have been used in 2 pediatric patients who have hemifacial microsomia and in 1 for congenital microtia for the retention of silicone rubber auricular prostheses. The surgery was performed in one stage. During the procedure, implants made out of two commercially pure titanium are gently placed in the bone. The skin-penetrating abutments are placed in the implant, with subcutaneous tissue reduction aimed at reducing mobility between the implant and the skin. Two months after the operation, the healing has normally reached the point at which the prostheses can be made and attached to the implants.
The follow-up time is still short and the number of implants too few for a firm conclusion that the one stage procedure is safe and reliable for pediatric patients. However, there has been no contact with the dura mater or the wall of the sigmoid sinus within the cortical shell of the mastoid process during the procedure. Neither adverse skin reaction around the penetration nor instability of the implant have been. The success of implants in children provides the possibility of early implant use, thereby reserving autogenous reconstruction.
The surgical procedure as well as the fabrication of the prostheses is presented in detail.