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a,b. Right and left auricular defect with two extraoral implant.
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AG, Switzerland) were placed for each temporal bone by plastic surgeon. After soft tissue healing and osseointegration is confirmed, 5.5-mm abutments were inserted (Figure 1a,b).
Completed wax pattern on stone cast.
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The whole morphology of the cast was corrected according to visual knowledge and the patient's own descriptions of his preoperative appearance (Figure 2).
Bar and clip retention elements.
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Two retention clips were positioned on the gold bars, and fabricated an acrylic substructure (Figure 3).
Completed mold with space created by the wax pattern.
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Wax pattern was placed into a flask and conventional procedures for wax elimination of the mold were followed (Figure 4).
a,b. Finished implant retained auricular prosthesis positioned in place.
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The final corrections were made, and the silicon prosthesises were then adapted to the defect area (Figure 5a,b).