Prosthetic Reconstruction for a Child with a Congenital Bilateral Ear Deformity: Case Report مقالة

Objectives: Microtia is the most commonly seen congenital ear defect, and involves an auricular deformity either unilaterally or bilaterally. The aim of this study was to fabricate silicone prostheses for a child with bilateral microtia using an innovative technique.Methods: This method involved the construction of bilateral ear prostheses using clips, which were located within the layers of the silicone superstructure.Results: Surgical reconstruction was not indicated due to the patient’s age; so prosthetic reconstruction was advised in this case.Discussion: Two prosthetic ears were manufactured, with one being attached using an adhesive method and the other by a self suspension method. The child and his parents were very satisfied by the cosmetic and aesthetic appearance of the prostheses fitted. This technique has been proven to be suitable for pediatric patients with microtia

Iranian Rehabilitation Journal, Vol. 13, Issue 3, Autumn 2015 Case Report Prosthetic Reconstruction for a Child with a Congenital Bilateral Ear Deformity: Case Report Mohammad Ali Mardani; Gholamreza Aminian; Mokhtar Arazpour* University of Social Welfare and Rehabilitation Sciences, Tehran, Iran Amir Fayaz; Masoud Eglali; Farhad Tabatabaian Shahid Beheshti University of Medical Sciences, Tehran, Iran Fatemeh Zarezadeh; Mostafa Mardani University of Social Welfare and Rehabilitation Sciences, Tehran, Iran Objectives: Microtia is the most commonly seen congenital ear defect, and involves an auricular deformity either unilaterally or bilaterally. This technique has been proven to be suitable for pediatric patients with microtia Keywords: Microtia, Prosthetic reconstruction, Ear prosthesis Submitted: 1 September 2015 Accepted: 22 September 2015 Introduction Ear defects may be congenital, or occur as a result trauma or development of a tumor (1). Patient Assessment The initial patient assessment showed that the left ear attachment site had a stable residuum that could be utilized to self-suspend a suitable prosthesis (figure 1c). Right and left plaster bases, replicating the patient’s prosthesis attachment sites Similarly, impressions were formed from the donor ears made using the same alginate (figure 2) and were subsequently filled with wax. After fitting the left ear prosthesis and ensuring effective suspension was achieved, the right ear was attached by adhesive, and the patient saw himself in the mirror with his new ears. Therefore, the use of adhesive to attach the right prosthesis, and use of the self suspension method (7) in the left ear, was the most suitable option for this patient.