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International Journal of Bioprinting                                   3D-printed post-otoplasty ear retainer
































             Figure 5. Contour plots of deformation and maximum contact stress on (A) the surface of the auricle, (B) the back of the auricle, and (C) the retainer.

























            Figure 6. Contour plots of deformation and maximum von Mises stress on (A) the surface of the auricle, (B) the back of the auricle, and (C) the retainer.





               A month after auricular corrective surgery, both the   compared to the external stretching device (morphological
            external stretching device and the 3D-printed personalized   difference: 2.84 ± 0.84 mm) (p = 0.04). This may be due
            retainer demonstrated good performance in maintaining   to the smaller contact area between the external stretching
            the  ear  shape  (Figure  7).  There  was no  significant   device and the scaphoid fossa at the transverse diameter of
            difference  in  auricular  length  changes  before  and  after   the auricle. In maintaining the postoperative H-M distance
            treatment between the two, i.e., 1.905 ± 0.34 mm in the   of the auricle, the 3D-printed personalized retainer also
            external stretching devices group vs. 1.520 ± 0.52 mm   displayed better shape retention (morphological difference:
            in  the  personalized  retainer  group  (p  =  0.07).  However,   1.02 ± 0.54 mm) compared to the external stretching device
            in  maintaining  the postoperative  auricular width, the   (morphological  difference:  1.72  ±  0.65  mm)  (p  =  0.02).
            3D-printed personalized retainer displayed better shape   The  external  stretching  device’s  inferior  performance in
            retention (morphological difference: 1.96 ± 0.84 mm)   maintaining the cranio-auricular angle morphology could



            Volume 10 Issue 5 (2024)                       471                                doi: 10.36922/ijb.3986
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