Reconstruction of and Nose with Osseointegration.

Park, Jae Hyun; Yoon, Eul Sik; Koo, Sang Hyan; Park, Seung Ha; Kim, Woo Kyung; Im, Soon

Original Article

Journal of the Korean Society of Plastic and Reconstructive Surgeons 1999;26(4):604-610.
Published online July 1, 1999.

Reconstruction of and Nose with Osseointegration.

Jae Hyun Park, Eul Sik Yoon, Sang Hyan Koo, Seung Ha Park, Woo Kyung Kim, Soon Im

Abstract

Satisfactory surgical reconstruction of the external ear and nose is still a major challenge for the plastic surgeon. Therefore, the use of prosthesis in selected cases should be considered as viable alternative. During the period from December, 1995 to January, 1998, 10 patients, including 9 patients of ear defect and 1 patient of nose defect resulting from the resection of recurrent tumor ablation, were reconstructed by using osseointegration and prosthesis. The surgery was performed in two stages. All procedures were performed under local anesthesia and on an outpatient. At the first stage, the fixtures of titanium implant were placed in the mastoid process and maxilla. These implants were then left for 3 months before the second stage takes place, in which the skin penetrating abutments were attached. After 3-4 weeks, the impression of the defect area were taken and the silicone prosthesis was made by Anaplastologist. Two patients had focal infection but healed without problem. One patient had soft tissue infection, then flap was excised and skin graft performed. There was one loss from 20 fixtures, that was 3 years after implantation. We have concluded that osseointegration for reconstruction of the ear and nose defect is simple, soft, reliable method, which is more than autologous reconstruction and provides excellent aesthetic results.