Long-Term Quality of Life Assessment in Patients With Auricular Prostheses

Kievit, Hanneke; Verhage-Damen, Godelieve W. J. A.; Ingels, K.J.A.O.; Mylanus, Emmanuel A. M.; Hol, Myrthe K. S.

doi:10.1097/scs.0b013e31827fef2c

Cited by 12 publications

(19 citation statements)

References 7 publications

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“…A remarkable outcome is the fact that revision surgery was not needed in our patients whereas in the literature, also in bone-anchored hearing, the reported necessity for revision surgery varies considerably, even up to approximately one-third of the patients [28, 31, 32, 34]. This might be associated with different surgical techniques (tissue preservation vs. tissue reduction [22–24]).…”

Section: Discussionmentioning

confidence: 81%

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Auricular prostheses attached to osseointegrated implants: multidisciplinary work-up and clinical evaluation

Vijverberg

Verhamme

Pol

et al. 2019

Eur Arch Otorhinolaryngol

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PurposeNot long after the introduction of osseointegrated implants outside the oral cavity, auricular prostheses are retrained on osseointegrated implants. New insights have been gained with the next-generation percutaneous osseointegrated titanium implants for bone conduction hearing since its introduction in 2010. As a result, the same technology was introduced in the Vistafix® system (VXI implant) to retain auricular prostheses. The aim of this study is to evaluate the surgical procedure, clinical outcome, and satisfaction of the patient of osseointegration-retained auricular prosthesis using VXI implants.Materials and methods11 patients who received an auricular prosthesis using VXI implants between December 2012 and November 2017 were evaluated retrospectively. The patient’s medical files were reviewed to assess clinical complications and the necessity for revision surgery. The subjective outcome was measured using the Glasgow benefit inventory (GBI).ResultsIn total, 31 implants were placed in 11 patients. None of these implants were lost nor revision surgery needed. An adverse skin reaction was observed in 13.0% of the implants and in 27.2% of the patients, adequately treated with an antibiotic ointment. The average follow-up time was 2 years and 7 months. The GBI displayed a positive score in every patient.ConclusionsThe VXI implants used are a safe and reliable treatment option for retaining auricular prostheses in patients with an absent auricle. Patients were satisfied with their auricular prosthesis and showed benefit in quality of life. Studies with larger numbers and preferably a prospective character are needed to draw statistically significant conclusions.

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Section: Discussionmentioning

confidence: 81%

“…In other studies conducted in patients with implant-retained auricular prostheses, an adverse soft-tissue reaction, requiring treatment, was reported in 3.5–10.4% of the observations [28–31]. Jacobsson et al reports adverse tissue reactions in 9.68% of the observations in a paediatric population [31].…”

Section: Discussionmentioning

confidence: 99%

Auricular prostheses attached to osseointegrated implants: multidisciplinary work-up and clinical evaluation

Vijverberg

Verhamme

Pol

et al. 2019

Eur Arch Otorhinolaryngol

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“…Over the last few years, QoL assessments have become important in evaluating the quality of medical interventions [40]. There were only 8 papers addressing the QoL of facial prosthesis, with only 2 focusing on auricular prosthesis that both were retrospective studies [40–47].…”

Section: Discussionmentioning

confidence: 99%

“…There were only 8 papers addressing the QoL of facial prosthesis, with only 2 focusing on auricular prosthesis that both were retrospective studies [40–47]. In contrast, this is the first prospective study on QoL on auricular prosthetic rehabilitation in which we obtained preoperative QoL findings that were important in evaluating changes with the postreconstruction results.…”

Section: Discussionmentioning

confidence: 99%

“…In terms of physical health (PCS), there was a significant difference over the study period and specifically there was a significant decrease in PCS scores (worse QoL) at 1 week compared to preoperative state. It is not uncommon following surgery or prosthetic placement that sequelae occur (pain, bruising, and swelling) or a need to “adapt” to prosthesis [40]. This would suggest that in timing of evaluating outcomes, consideration should be given for these sequelae to resolve and/or adaptations to occur.…”

Section: Discussionmentioning

confidence: 99%

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Psychosocial and Quality of Life Outcomes of Prosthetic Auricular Rehabilitation with CAD/CAM Technology

Tam

McGrath

et al. 2014

International Journal of Dentistry

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Introduction. The psychosocial and quality of life (QoL) of patients with deformed or missing ears are frequently compromised. The aim of this study is to develop innovative techniques using CAD/CAM technology in prosthetic auricular rehabilitation and provide improvement in the treatment outcomes, including their psychology and QoL. Methods. This is a preliminary clinical cohort study. Six patients requesting for auricular reconstruction were recruited and rehabilitated with implant-supported prosthesis using CAD/CAM technology. Different treatment outcomes including QoL and psychological changes were assessed at different time points. Results. A significant reduction in severity of depressive symptoms (P = 0.038) and an improving trend of satisfaction with life were found at 1 year postoperatively when compared with the preoperative findings. The domain scores in ‘‘Body image”, ‘‘Family/friends/strangers”, and ‘‘Mood” were also significantly higher (P < 0.05) at 1 year postoperatively than 1 week postoperatively. However, only 50% of the patients wear their auricular prosthesis regularly. Conclusion. This preliminary study has confirmed that implant-supported auricular prosthesis could induce improvement in the psychology and QoL with statistically significant differences in the domains of the body image, social interaction, and mood. Our present findings can inform research design and hypotheses generation of future studies.

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Kahue¹,

Seim²,

Mannion³

2020

Head and Neck Cancer

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Long-Term Quality of Life Assessment in Patients With Auricular Prostheses

Abstract: In general, patients seemed to be satisfied with the auricular prostheses, which did improve their quality of life. Furthermore, the quality of life was enhanced with higher quality prostheses and with proper hygiene to prevent skin reactions.

Cited by 12 publications

References 7 publications

Auricular prostheses attached to osseointegrated implants: multidisciplinary work-up and clinical evaluation

Auricular prostheses attached to osseointegrated implants: multidisciplinary work-up and clinical evaluation

Psychosocial and Quality of Life Outcomes of Prosthetic Auricular Rehabilitation with CAD/CAM Technology

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