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Revista odontológica mexicana
Print version ISSN 1870-199X
Rev. Odont. Mex vol.11 n.4 Ciudad de México Dec. 2007
https://doi.org/10.22201/fo.1870199xp.2007.11.4.15801
Casos clínicos
Colocación de implantes oseointegrados en región mastoidea para habilitación auricular protésica: Presentación de un caso clínico
Osseointegrated implants for prosthetic auricular rehabilitation. Presentation of a case
* Alumno de la Especialidad en Cirugía Maxilofacial, DEPeI. Facultad de Odontología, UNAM. México.
§ Profesor Departamento de Cirugía Maxilofacial DEPeI. Facultad de Odontología, UNAM. México.
‡ Profesor Departamento de Prótesis Maxilofacial DEPeI. Facultad de Odontología, UNAM. México.
Las deformidades auriculares se presentan por resección tumoral, trauma o malformaciones congénitas. Entre los tratamientos para la falta del pabellón auricular se encuentran la reconstrucción con tejido autólogo y las reconstrucciones por medio de prótesis auriculares. Los implantes oseointegrados en región mastoidea se presentan como una alternativa en la retención de prótesis auriculares.
Objetivo
Confirmar la eficacia de los implantes oseointegrados, como medio de retención de prótesis auriculares, en una malformación auricular de origen congénito.
Presentación del caso
Reportamos el caso de un paciente masculino de 22 años de edad, que presenta microtia unilateral lado derecho, con varios intentos de reconstrucción autóloga fallidos, se decide la colocación de implantes oseointegrados en la región de la apófisis mastoidea del temporal para la retención de su prótesis auricular, procedimiento que se llevó a cabo en dos tiempos quirúrgicos.
Conclusiones
Los implantes oseointegrados se pueden colocar de manera exitosa en la región de la apófisis mastoides del temporal para una adecuada retención de las prótesis auriculares, devolviendo función, estética y el desarrollo de actividades sociales de forma normal.
Palabras clave: Microtia; implantes extraorales; reconstrucción auricular; prótesis auriculares
Auricular defects can result from tumor resection, trauma or congenital malformations. The reconstruction of auricular defects is made by autogenous and alloplastic reconstruction. Osseointegrated implants offer an alternative for the anchorage of auricular prosthesis.
Objectives
To show the efficiency of osseointegrated implants used as anchorage for auricular prosthesis.
Case report
A clinical report of a 22 years old male, with a right side microtia, who had had many failed autogenous ear reconstructions. The procedure was done in two steps.
Conclusions
Osseointegrated implants can be placed in the mastoid area of the temporal bone to achieve retention for bone anchored auricular prosthesis, restoring function, aesthetics and normal social activities.
Key words: Microtia; extraoral implants; ear reconstruction; auricular prostheses
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