PMC3886088_01
The patient number 1 with missing right ear.
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fig1
No localized inflammation was noticed (Figures 1 - 3).
The left intact ear.
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fig2
No localized inflammation was noticed (Figures 1 - 3).
Scar tissue at the defect side from previous closure of the wound with many
lumps.
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fig3
No localized inflammation was noticed (Figures 1 - 3).
Drawing of the intact ear on transparent celluloid paper.
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fig4
It should be positioned and related to the anatomical features in the defect side of the patient by orienting the drawing and the indexes on it to the same distances and angulations taken from the intact side and marked on the surgical site (Figures 4 - 7).
Measuring distances to the canthus of the eye.
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fig5
It should be positioned and related to the anatomical features in the defect side of the patient by orienting the drawing and the indexes on it to the same distances and angulations taken from the intact side and marked on the surgical site (Figures 4 - 7).
Measuring distance to the corner of the mouth.
jomr-03-e6-g006.jpg
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fig6
It should be positioned and related to the anatomical features in the defect side of the patient by orienting the drawing and the indexes on it to the same distances and angulations taken from the intact side and marked on the surgical site (Figures 4 - 7).
Drawing the shape of the intact ear on the defect side in the same
orientation.
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fig7
It should be positioned and related to the anatomical features in the defect side of the patient by orienting the drawing and the indexes on it to the same distances and angulations taken from the intact side and marked on the surgical site (Figures 4 - 7).
Making a groove for placement of the implants within the antihelix of the
ear.
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fig8
This film is used as a surgical template to place the implants in their anticipated correct position in relation to anatomic features of the face and to the final ear prosthesis (Figures 8, 9).
Orientation of the surgical template with the groove over the surgical
site.
jomr-03-e6-g009.jpg
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fig9
This film is used as a surgical template to place the implants in their anticipated correct position in relation to anatomic features of the face and to the final ear prosthesis (Figures 8, 9).
Full thickness flap.
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fig10
A healing period of 3 - 4 months was allowed before the prosthetic procedures started (Figures 10 - 12).
Three implants in place with their cover screws.
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fig11
A healing period of 3 - 4 months was allowed before the prosthetic procedures started (Figures 10 - 12).
Final closure of the surgical site.
jomr-03-e6-g012.jpg
PMC3886088_01_jomr-03-e6-g012.jpg
fig12
A healing period of 3 - 4 months was allowed before the prosthetic procedures started (Figures 10 - 12).
Normal side of patient number 2.
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fig13
The orientation technique was done on the intact side and transferred to the defect side in the surgical room. This simplified surgical template was used to insert 3 craniofacial implants in the mastoid bone area within the confines of the antihelix area of the definitive auricular prosthesis (Figures 13 - 17).
Positioning the radiographic film on the normal side.
jomr-03-e6-g014.jpg
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fig14
The orientation technique was done on the intact side and transferred to the defect side in the surgical room. This simplified surgical template was used to insert 3 craniofacial implants in the mastoid bone area within the confines of the antihelix area of the definitive auricular prosthesis (Figures 13 - 17).
Drawing the ear on radiographic film on the normal side.
jomr-03-e6-g015.jpg
PMC3886088_01_jomr-03-e6-g015.jpg
fig15
The orientation technique was done on the intact side and transferred to the defect side in the surgical room. This simplified surgical template was used to insert 3 craniofacial implants in the mastoid bone area within the confines of the antihelix area of the definitive auricular prosthesis (Figures 13 - 17).