title: Establishment of a bone-anchored auricular prosthesis (BAAP) program.
abstract: OBJECTIVE
  Bone-anchored auricular prostheses (BAAPs) are indicated for treatment of congenital or acquired microtia in children. This paper reports on our experience in establishing a BAAP program, including treatment algorithms, protocols and a discussion of the methodology, complications and patient satisfaction.
  
  
  METHODS
  Eleven consecutive children using BAAPs were reviewed. Outcome measures include patient selection criteria, long-term stability of the BAAP, skin reactions around the site, and patient satisfaction.
  
  
  RESULTS
  A patient selection program was developed and implemented, followed by a management protocol for surgery and follow-up. All children (100%) achieved osseointegration, with only one site revision necessary. A variable degree of skin irritation was noted in just over one third (39%) of cases. All children were satisfied with their prosthesis.
  
  
  CONCLUSIONS
  The use of BAAPs in a pediatric population is a safe and viable method to correct disfiguring microtia. The final result is generally very acceptable to the child.
authors.affiliation: Department of Otolaryngology, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario, Canada M5G 1X8.
authors.forename: Brian W
authors.initials: BW
authors.lastname: Rotenberg
authors.forename: Adrian L
authors.initials: AL
authors.lastname: James
authors.forename: David
authors.initials: D
authors.lastname: Fisher
authors.forename: Jim
authors.initials: J
authors.lastname: Anderson
authors.forename: Blake C
authors.initials: BC
authors.lastname: Papsin
mesh_terms: D000293:Adolescent; D001842:Bone and Bones; D002648:Child; D015331:Cohort Studies; D000013:Congenital Abnormalities / Q000175:diagnosis / Q000601:surgery; D004431:Ear, External / Q000002:abnormalities* / Q000601:surgery*; D005260:Female; D006776:Hospitals, Pediatric; D006801:Humans; D008297:Male; D009864:Ontario; D016348:Osseointegration / Q000502:physiology; D018579:Patient Selection; D011379:Prognosis; D019736:Prostheses and Implants; D011474:Prosthesis Design; D019919:Prosthesis Implantation / Q000009:adverse effects / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods; D012189:Retrospective Studies; D012680:Sensitivity and Specificity; D016896:Treatment Outcome