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European Archives of Oto-Rhino-Laryngology

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Open Access 01-04-2019 | Otology

Auricular prostheses attached to osseointegrated implants: multidisciplinary work-up and clinical evaluation

Authors: Maarten A. Vijverberg, Luc Verhamme, Pascal van de Pol, Henricus P. M. Kunst, Emmanuel A. M. Mylanus, Myrthe K. S. Hol

Published in: European Archives of Oto-Rhino-Laryngology | Issue 4/2019

Abstract

Purpose

Not long after the introduction of osseointegrated implants outside the oral cavity, auricular prostheses are retrained on osseointegrated implants. New insights have been gained with the next-generation percutaneous osseointegrated titanium implants for bone conduction hearing since its introduction in 2010. As a result, the same technology was introduced in the Vistafix^® system (VXI implant) to retain auricular prostheses. The aim of this study is to evaluate the surgical procedure, clinical outcome, and satisfaction of the patient of osseointegration-retained auricular prosthesis using VXI implants.

Materials and methods

11 patients who received an auricular prosthesis using VXI implants between December 2012 and November 2017 were evaluated retrospectively. The patient’s medical files were reviewed to assess clinical complications and the necessity for revision surgery. The subjective outcome was measured using the Glasgow benefit inventory (GBI).

Results

In total, 31 implants were placed in 11 patients. None of these implants were lost nor revision surgery needed. An adverse skin reaction was observed in 13.0% of the implants and in 27.2% of the patients, adequately treated with an antibiotic ointment. The average follow-up time was 2 years and 7 months. The GBI displayed a positive score in every patient.

Conclusions

The VXI implants used are a safe and reliable treatment option for retaining auricular prostheses in patients with an absent auricle. Patients were satisfied with their auricular prosthesis and showed benefit in quality of life. Studies with larger numbers and preferably a prospective character are needed to draw statistically significant conclusions.

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Title: Auricular prostheses attached to osseointegrated implants: multidisciplinary work-up and clinical evaluation
Authors: Maarten A. Vijverberg
Luc Verhamme
Pascal van de Pol
Henricus P. M. Kunst
Emmanuel A. M. Mylanus
Myrthe K. S. Hol
Publication date: 01-04-2019
Publisher: Springer Berlin Heidelberg
Published in: European Archives of Oto-Rhino-Laryngology / Issue 4/2019
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-019-05311-0

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Auricular prostheses attached to osseointegrated implants: multidisciplinary work-up and clinical evaluation

Abstract

Purpose

Materials and methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Purpose

Materials and methods

Results

Conclusions

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