Riccardo D'Eredità1, Matteo Caroncini, Roberto Saetti. 1. Department of Otorhinolaryngology, Head and Neck Surgery, Vicenza Civil Hospital, Vicenza, Padova, Italy. riccardo.deredita@ulssvicenza.it
Abstract
OBJECTIVES: To assess stability of a new-design titanium implant (Cochlear Baha BAI300) in bone-anchored hearing aid (Baha) recipients over time. STUDY DESIGN AND SETTING: Prospective case series with planned data collection at a tertiary care institution. Twelve patients who underwent Baha surgery over 12 months were analyzed. SUBJECTS: All patients (3 children, age range 6-10 years, mean 7.7 years, median 7.3 years; 9 adults, age range 34-73 years, mean 52.8 years, median 48 years) underwent the 1-stage procedure following the standard Brånemark technique. In all procedures, the single-skin incision was applied. METHODS: The stability of the implant was measured with implant stability quotient (ISQ) measurement tests. All patients were tested at surgery and every week after for 1 year. Wound-healing time, degree of soft tissue reactions around the abutment, and need for revision surgery were examined. Two-tailed Student t test and χ(2) for all comparisons were calculated; P < .05 values were considered significant. RESULTS: The new implant showed a steep increase of ISQ values over the first 2 weeks and reached stable ISQ values 3 weeks after surgery. Complete skin healing time was obtained in 8 days on average (range, 7-12 days; median 7.6 days). Neither implant extrusion nor skin revision surgery was observed in our patients during the first year of follow-up. CONCLUSIONS: This new implant revealed stability and fast integration. The data from the present study suggest the new implant may be suitable for early loading protocols.
OBJECTIVES: To assess stability of a new-design titanium implant (Cochlear Baha BAI300) in bone-anchored hearing aid (Baha) recipients over time. STUDY DESIGN AND SETTING: Prospective case series with planned data collection at a tertiary care institution. Twelve patients who underwent Baha surgery over 12 months were analyzed. SUBJECTS: All patients (3 children, age range 6-10 years, mean 7.7 years, median 7.3 years; 9 adults, age range 34-73 years, mean 52.8 years, median 48 years) underwent the 1-stage procedure following the standard Brånemark technique. In all procedures, the single-skin incision was applied. METHODS: The stability of the implant was measured with implant stability quotient (ISQ) measurement tests. All patients were tested at surgery and every week after for 1 year. Wound-healing time, degree of soft tissue reactions around the abutment, and need for revision surgery were examined. Two-tailed Student t test and χ(2) for all comparisons were calculated; P < .05 values were considered significant. RESULTS: The new implant showed a steep increase of ISQ values over the first 2 weeks and reached stable ISQ values 3 weeks after surgery. Complete skin healing time was obtained in 8 days on average (range, 7-12 days; median 7.6 days). Neither implant extrusion nor skin revision surgery was observed in our patients during the first year of follow-up. CONCLUSIONS: This new implant revealed stability and fast integration. The data from the present study suggest the new implant may be suitable for early loading protocols.
Authors: Christine A den Besten; Joacim Stalfors; Stina Wigren; Johan Ivarsson Blechert; Mark Flynn; Måns Eeg-Olofsson; Rohini Aggarwal; Kevin Green; Rik C Nelissen; Emmanuel A M Mylanus; Myrthe K S Hol Journal: Otol Neurotol Date: 2016-09 Impact factor: 2.311