Auricular Reconstruction with Osseointegrated Implant-Retained Prostheses

Abstract

Background: Auricular defects may be congenital or acquired and can result in functional, aesthetic, and psychological consequences. Their management may involve surgical reconstruction or prosthetic rehabilitation. Osseointegrated implant-retained auricular prostheses provide reliable retention and an aesthetic alternative when surgical reconstruction is unsuitable or declined.

Objective: To review the embryological development and classification of auricular deformities, available surgical and prosthetic reconstruction options, the principles of osseointegration and implant-retention systems, digital planning protocols, and the biomaterials and colour-stability considerations relevant to auricular prosthetic rehabilitation.

Conclusion: Osseointegrated implant-retained auricular prostheses represent an effective reconstructive option for selected patients with auricular defects. Successful rehabilitation depends on careful patient selection and preoperative planning, appropriate implant positioning, adequate osseointegration and soft-tissue management, suitable retention systems, and the long-term stability and biocompatibility of the prosthetic materials.