{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T17:21:45Z","timestamp":1787764905309,"version":"build-2784847793"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:p>Surgical reconstruction of the missing external ear is difficult, and the results are often far from satisfactory. An implant-retained auricular prosthesis is a suitable alternative. Microtia, malformation, deformity, and partial or complete loss of the external ear may be due to various congenital or acquired factors. A case series of three patients treated with implant-retained auricular prostheses is presented in this article. For each missing pinna, two titanium implants were placed in the temporal bone. After 6 months of osseointegration, the implants were loaded. All three cases were rehabilitated with a bar and clip retained prosthesis. There were two male and one female patient with an average age of 16.6 years. One patient had unilateral absence of external ear and two had bilateral absence. A total of 10 implants were placed, 4 on the right side and 6 on the left. The average post rehabilitation follow-up was 18 months. Peri-implant tissue reactions were observed at two sites. The implant-retained auricular prosthesis is an alternative treatment approach with good retention and patient satisfaction. Long-term follow-up is required to assess delayed sequelae.<\/jats:p>","DOI":"10.4103\/njms.njms_160_22","type":"journal-article","created":{"date-parts":[[2023,11,10]],"date-time":"2023-11-10T14:12:50Z","timestamp":1699625570000},"page":"499-503","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Reconstruction of the external ear using implant-supported alloplasts\u2014Our experience"],"prefix":"10.4103","volume":"14","author":[{"given":"Rayan","family":"Malick","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Vydehi Institute of Dental and Medical Sciences and Research Centre, Bangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.E.","family":"Sham","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Vydehi Institute of Dental and Medical Sciences and Research Centre, Bangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thyagraj Jayaram","family":"Reddy","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics, Vydehi Institute of Dental and Medical Sciences and Research Centre, Bangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.C.","family":"Jacob","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Vydehi Institute of Dental and Medical Sciences and Research Centre, Bangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,11,10]]},"reference":[{"key":"R1-20260512","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1055\/s-0036-1579744","article-title":"Satisfaction of elderly hearing aid users","volume":"21","author":"Kozlowski","year":"2017","journal-title":"Int Arch Otorhinolaryngol"},{"key":"R2-20260512","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1016\/j.fsc.2018.08.010","article-title":"Reconstruction of the Ear","volume":"27","author":"Smith","year":"2019","journal-title":"Facial Plast Surg Clin North Am"},{"key":"R3-20260512","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1001\/jamafacial.2015.2365","article-title":"The cost of facialdeformitya health utility and valuation study","volume":"18","author":"Dey","year":"2016","journal-title":"JAMA Facial Plast Surg"},{"key":"R4-20260512","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1016\/j.fsc.2006.01.003","article-title":"Mobley SR. Externalauricularandfacialprosthetics: A collaborative effort of the reconstructive surgeon and anaplastologist","volume":"14","author":"Tanner","year":"2006","journal-title":"Facial Plast Surg Clin North Am"},{"key":"R5-20260512","first-page":"7371645","article-title":"Osseointegrated implants: An alternative approach in patients with bilateral auricular defects due to chemical assault","volume":"2016","author":"Mevio","year":"2016","journal-title":"Case Rep Otolaryngol"},{"key":"R6-20260512","first-page":"35","article-title":"Soft tissue reaction around percutaneous implants: a clinical study on skin penetrating titanium implants used for bone-anchored auricular prostheses","volume":"2","author":"Holgers","year":"1987","journal-title":"Int J Oral Maxillofac Implants"},{"key":"R7-20260512","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1016\/j.fsc.2016.06.011","article-title":"Microtia reconstruction","volume":"24","author":"Bly","year":"2016","journal-title":"Facial Plast Surg Clin N Am"},{"key":"R8-20260512","doi-asserted-by":"crossref","first-page":"2150","DOI":"10.1016\/j.jcms.2018.10.005","article-title":"Auricular reconstruction with polyethylene implants or silicone prosthesis: A single institution experience","volume":"46","author":"Al Kadah","year":"2018","journal-title":"J Craniomaxillofac Surg"},{"key":"R9-20260512","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1177\/019459989310800405","article-title":"Bone-anchored reconstruction of the irradiated head and neck cancer patient","volume":"108","author":"Granstr\u00f6m","year":"1993","journal-title":"Otolaryngol Head Neck Surg"},{"key":"R10-20260512","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1016\/j.fsc.2017.09.007","article-title":"Auricular prostheses in Microtia","volume":"26","author":"Federspil","year":"2018","journal-title":"Facial Plast Surg Clin North Am"},{"key":"R11-20260512","doi-asserted-by":"crossref","first-page":"379","DOI":"10.1007\/s00106-020-00853-w","article-title":"Epithetische Versorgung im Kopf-Hals-Bereich","volume":"68","author":"Federspil","year":"2020","journal-title":"HNO"}],"container-title":["National Journal of Maxillofacial Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/njms.njms_160_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:50:55Z","timestamp":1787763055000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/njms.njms_160_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9]]},"references-count":11,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/njms.njms_160_22","relation":{},"ISSN":["0975-5950","2229-3418"],"issn-type":[{"value":"0975-5950","type":"print"},{"value":"2229-3418","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9]]},"assertion":[{"value":"2022-09-05","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-12-27","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}