In the construction of a whole ear prosthesis we would like to consult with the patient and the relevant surgeon responsible for the removal of the ear before the operation has taken place.
For a good aesthetical result it must be decided what tissue to remove and which to keep intact. Normally the whole ear site should be cleared with only the tragus intact.
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After the operation and relevant consultation with the surgeon the construction of an ear prosthesis can take place.
The first step in construction would be to take impressions of the defect area and of the natural ear. Working models of theese impressions are cast.
By using the model of the opposing natural ear a mirror image is carved in wax. The waxed prosthesis is tried on the patient and corrections are made till all functional and aesthetical criteria are met.
A mould is made of the waxed ear while the patient is present, a silicone base material is mixed and skin colour matched and then packed into a mould.
The ear prosthesis is finished off and placed onto the patient.
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Prostheses are retained by medical adhesive fixation (stick on) or by placing osseointegrated implants to which the prosthesis can be attached by using a clip system.
The placement of titanium implant fixtures and abutment placement can be done as one surgical operation or placed in two different operations. The time allowed for osseointegration of the implants into the bone will be determined by the surgeon but a period of approximately 3 months is ussually accepted.
We do assist with the ordering of the implants to be placed and by constructing a surgical stent we can also assist in planning the location of the implant sites. If it pleases the patient and the surgeon we can be present in the operating theatre and at all relevant comnsultations.
Please contact us if you need further information.