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Cirugía Plástica Ibero-Latinoamericana

versión On-line ISSN 1989-2055versión impresa ISSN 0376-7892


SESMAN BERNAL, A.L. et al. Auricular reconstruction with osseointegrated implants in a single procedure in selected cases. Cir. plást. iberolatinoam. [online]. 2011, vol.37, n.3, pp.267-279. ISSN 1989-2055.

Our goal is to demonstrate that the use of osseointegrated materials allows us to achieve a proper fixation of auricular prosthesis with a minimum degree of morbidity in children from 6 years without antecedent of reconstruction and in cases in which other reconstructive methods have failed. We introduce the experience of auricular reconstruction with osseointegrated implants in the National Institute of Pediatrics, México DF, from January 2007 to November 2009. Patients are selected from the age of 6, but mainly those in which other techniques have not had adequate results from the aesthetic point of view, and in those in which reconstruction started in late way (between 12-17 years), using more complicated autologous tissue and with less time to finish the reconstructive procedures before the age of 18 years. We present auricular malformations reconstructed in our hospital; some of these children had been treated from birth for this cause (up to 17 years); patients in which the aesthetic results with autologous tissue, Medpore® implants or tissue expansion have not been satisfactory or cases in which two or more techniques have been used for the same patient, presenting high morbidity and unacceptable esthetic results. Also, patients 9 years old who suffered this procedure as first intention. For us all of these cases have had an excellent aesthetic results with a 100 % patient satisfaction. Auricular reconstruction with osseointegrated implants, is an internationally accepted procedure for those patients with individual characteristics that determine the type of reconstruction as well as the experience of the physician, but in our particular case, for patients with failure of the traditional techniques such as autologous tissue or alloplastic materials and those with lately reconstruction, provides an excellent choice with very good results from the aesthetic point of view and satisfaction for the patient, with little or no morbidity.

Palabras clave : Auricular reconstruction; Osseointegrated implants.

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