Total auricular rehabilitation: Combined cosmetic and functional lateral temporal bone reconstruction

Philip D. Littlefield, Anthony M. Tolisano, Jennifer V. Sabol, Matthew Herberg, George L. Coppit

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: The aim of the study was to describe 3 cases of total auricular rehabilitation, including the novel use of iliac crest bone grafts to support bone-anchored auricular prostheses. Study Design: This study is a retrospective case series from a single institution. Results: Three cases with large lateral temporal bone and soft tissue defects were successfully treated with total auricular rehabilitation. Rehabilitation included the following: soft tissue coverage with an anterolateral thigh microvascular free flap, iliac crest-free bone graft with staged placement of a bone-anchored auricular prosthesis into the bone graft, and audiologic rehabilitation with a boneanchored hearing aid (BAHA). All of the cases with grafts and flaps survived and were without significant donor site morbidity. Bone-anchored hearing aid abutment skin overgrowth was seen in 2 cases and was revised under local anesthesia. All of the patients had expected functional recovery on postoperative audiologic testing. Each patient continues to consistently wear his/her auricular prosthesis and BAHA during 3 years of follow-up. Conclusions: Total auricular rehabilitation is a complex task involving reconstruction of extensive soft tissue defects, bony defects, and the hearing apparatus. Acceptable cosmetic and functional outcomes and high patient satisfaction is possible in committed patients.

Original languageEnglish (US)
Pages (from-to)1467-1470
Number of pages4
JournalJournal of Craniofacial Surgery
Volume26
Issue number5
DOIs
StatePublished - Jul 1 2015
Externally publishedYes

Keywords

  • Prostheses and implants
  • Temporal bone/pathology
  • Temporal bone/surgery

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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