SERVICE PROVIDERS:

• Jamie Els usually assist with both operations. Surgical ~ stents are made to direct and plan the placement of the implants. At the Laboratory, we will manufacture and fit the Ear Prosthesis ± 3-4 months after surgery.
• Implant Supply Company will provide the Hospital and Jamie Els with the necessary implants and components.
• Anaesthetist and Hospital.
• Attending surgeon, assisted by Jamie Els. The first stage of surgery is to place three osseointegrated implants. The second stage (± 3 months later) is to expose the implants. 
• After successful osseointegration of implants, we start the construction of the Auricular prosthesis.  Implant components are ordered for the ear implants.

      MANUFACTURING:

• Take impressions of the position of implants.
• Cast models with impression of Implant Analogs.
• The design and construction of the dolar bar with is cast in titanium, gold or non-precious metal alloys.
• Then fit to the abutments by gold screws.
• Acrylic superstructure is constructed to fit over the dolar bar with Gold or Teflon clips in the correct position.
• The prosthesis is carved in wax and tried on the patient. Changes are made till the patient is satisfied.
• The waxed-up prosthesis is placed on the superstructure and dolar bar and then waxed down. All the finer details on the prosthesis gets done.
• Flasked moulds are made of the prosthesis, wax is boiled out leaving the ear-mould ready for packing.
• Packing and colouring of Silicone Elastomer is done with patient present to ensure correct coloring.
• The packed silicone ear prosthesis is then put under pressure for ± 12 hours.
• The ear prosthesis is removed from the moulds, trimmed and the finer details done.
• Comparing the colour to the patients other ear.
• Dolar bar is placed on patient and the final ear prosthesis is fitted.
• Instructions on how to clean and maintain the prosthesis is given out.

      An Auricular prosthesis should be replaced every 3/4 years.