OBJECTIVES: (1) To report on the results and complications arising from using a minimal tissue removal procedure for the placement of an osseointegrated hearing implant. (2) To comment on the advantages and disadvantages for this technique compared to current standard techniques. STUDY DESIGN: Case series with chart review; 2008-2010. SETTING: Tertiary care facility. SUBJECTS AND METHODS: All consecutive patients undergoing osseointegrated hearing implant surgery with a minimal tissue removal technique were reviewed. TECHNIQUE: A small incision (1.5 cm) with little to no soft tissue (fat only) removal with good skin to periosteum fixation after placement of implant and abutment. RESULTS: Thirty-one adults were assessed (aged 18-86, range of follow-up 3-45 months). No patients experienced hair loss, significant numbness, cosmetic defects, or intraoperative or audiologic complications. Eight patients required some combination of antibiotic ointment, steroid ointment, and/or oral antibiotic for mild erythema around the abutment, and 3 patients required soft tissue revision. Five children under the age of 18 were also assessed. One of these patients required soft tissue revision in the operating room and 1 required removal of the implant. CONCLUSIONS: We have demonstrated comparable outcomes to other surgical techniques with less cosmetic and other associated complaints. This study indicates that a less invasive approach for the surgical implantation of the osseointegrated auditory implant may have merit.
OBJECTIVES: (1) To report on the results and complications arising from using a minimal tissue removal procedure for the placement of an osseointegrated hearing implant. (2) To comment on the advantages and disadvantages for this technique compared to current standard techniques. STUDY DESIGN: Case series with chart review; 2008-2010. SETTING: Tertiary care facility. SUBJECTS AND METHODS: All consecutive patients undergoing osseointegrated hearing implant surgery with a minimal tissue removal technique were reviewed. TECHNIQUE: A small incision (1.5 cm) with little to no soft tissue (fat only) removal with good skin to periosteum fixation after placement of implant and abutment. RESULTS: Thirty-one adults were assessed (aged 18-86, range of follow-up 3-45 months). No patients experienced hair loss, significant numbness, cosmetic defects, or intraoperative or audiologic complications. Eight patients required some combination of antibiotic ointment, steroid ointment, and/or oral antibiotic for mild erythema around the abutment, and 3 patients required soft tissue revision. Five children under the age of 18 were also assessed. One of these patients required soft tissue revision in the operating room and 1 required removal of the implant. CONCLUSIONS: We have demonstrated comparable outcomes to other surgical techniques with less cosmetic and other associated complaints. This study indicates that a less invasive approach for the surgical implantation of the osseointegrated auditory implant may have merit.
Authors: János Jarabin; Zsófia Bere; Petra Hartmann; Ferenc Tóth; József Géza Kiss; László Rovó Journal: Eur Arch Otorhinolaryngol Date: 2014-12-12 Impact factor: 2.503
Authors: Mark D Wilkie; Kathryn A Lightbody; Ali A Salamat; Kalyan M Chakravarthy; David A Luff; Robert H Temple Journal: Eur Arch Otorhinolaryngol Date: 2014-02-17 Impact factor: 2.503