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(a) Sterile silicone surgical guide. (b) Failed previous autogenous reconstruction with marks for both prosthetic and bone anchored hearing device implants. (c) Excision of auricular remnants. The incision is all at once used for placing the prosthetic implants. (d) After preparing a periosteal flap the implant holes are drilled. (e) The implants are loaded with cover screws until surgical step two. (f) Closed wound with abutment for bone anchored hearing device in place.
