Osteointegrated Implants in Plastic Surgery

Correspondence: Brijesh Mishra (E-mail: [e-mail])

Abstract

Background Loss of certain body parts leads to aesthetic deficit and functional loss. Reconstructive surgeons make massive efforts to restore these lost parts like fingers, toes, ear, and the nose. Reconstruction of the ear and terminal phalanx is very challenging and unsatisfactory. Prosthetic silicon replacement of these parts has been tried, but they have problems with retention. Osteointegrated implants, which are widely practiced in dentistry, can also be used in these problems, especially for the ear and pharynx. We hereby share our experience of using osteointegrated implants in six patients' limbs.

Methodology A total of six patients were offered osteointegrated implants: three for ear prosthesis and three for phalanx prosthesis. Procedures were done in stages. First stage of implant insertion, followed by implant exposure and healing cap application. It was later followed by prosthesis fabrication.

Results All six patients could be successfully offered a prosthesis on healed implants. There were no major complications. One patient reported occasional leakage of serum from the implant site.

Conclusion The prosthetic innovation improved retention and increased the patient's confidence to perform daily activities without fear of dislodgement. This can be considered a viable option in difficult scenarios, especially for ear reconstruction.

Keywords: osteointegrated implant, ear prosthesis, phalanx prosthesis, retention, patient confidence

Publication History

Article published online:
10 November 2025