Percutaneous implants of bone conduction: 8-year evolution and results
Abstract Background: Percutaneous bone conduction implants are an alternative to alleviate unilateral transmission, mixed and neurosensory hearing loss in patients unable to carry conventional hearing aids. Through this study we analyzed the indications of the osseointegrated systems in the Lozano Blesa Hospital (Zaragoza, Spain), among other aspects. Method: An observational study was carried out based on medical records, including patients who had been implanted with a percutaneous osseointegrated system since 2010. The collected data included demographic information, clinical and analytical data concerning his hearing loss and post-implant complications, among others. Results: 59 percutaneous implants were analyzed; 44.1% Baha type and 55.9% Ponto type. Regarding the audiological indication of the implant, mixed hearing loss was the most frequent cause (64,40%). The most frequent clinical diagnosis was chronic otitis media (83%). The functional hearing gain of the implanted patients due to transmission hearing loss was 26,92 ± 7,65 dB. The most used surgical technique was the U flap carried out in 42.40% patients. It has been observed a tendency between the relationship in the number of complications and the fact of performing a reduction of subcutaneous tissue surrounding the implant (p = 0,051). Discussion and conclusions: Although no significant differences were found, the demographic results, as well as the indication of implantation, functional gain and complications are similar to the data found in the medical literature. However, future studies with a larger number of patients would be convenient.
- Referencias
- Cómo citar
- Del mismo autor
- Métricas
1.Pla Gil I, Marti?nez Beneyto P, Marco Algarra M, Chapter 16 Implantes de conducción de vía ósea. in: Ponencia Oficial de la Sociedad Espan?ola de Otorrinolaringologi?a y Patologi?a Ce?rvico-Facial. CYAN, Proyectos Editoriales, S.A; 2014. 395- 401.
2.Gaeun K, Hyun MJ, Sun HL, Hee-Soon K, Jeong AK, Young JS. Efficacy of Bone-Anchored Hearing Aids in Single-Sided Deafness: A Systematic Review. Otol Neurotol; 2017. 38, 473-83
3.Sprinzl GM, Wolf-Magele A. The bonebridge Bone Conduction Hearing Implant: Indication criteria, surgery and systematic review of the literature. Clin Otolaryngol; 2016. 41, 331-43.
4.Lavilla-Martín-de-Valmaseda MJ, Cavalle-Garrido L, Huarte-Irujo A, Nu?ñez-Batalla F, Manrique-Rodriguez M, Ramos-Maci?as A et al. Guía clínica sobre implantes de conducción de vía ósea. Acta Otorrinolaringol Esp; 2019. 70, 105- 11.
5.Tjellström A, Lindström J, Hallén O, Albrektsson T, Brånemark PI. Osseointegrated titanium implants in the temporal bone. A clinical study on bone-anchored hearing aids. Am J Otol; 1981. 2, 304-10.
6.Snik AFM, Bosman AJ, Mylanus EAM, Cremers CWRJ. Candidacy for the Bone-Anchored Hearing Aid. Audiol Neurootol; 2004. 9,190–6.
7.Lazaro A, Artal R, Agreda B, Alfonso JI, Abenia JM, Rubio R et. Al. La implantaciíon de prótesis osteointegradas tipo B.A.H.A. Nuestra experiencia. O.R.L. Aragon; 2008. 11, 6-10.
8.Tjellström A, Håkansson B. The bone-anchored hearing aid. Design principles, indications, and long-term clinical results. Otolaryngol Clin North Am; 1995. 28, 53-72.
9.Gerdes T, Salcher RB, Schwab B, Lenarz T, Maier H. Comparison of audiological results between a transcutaneous and a percutaneous bone conduction instrument in conductive hearing loss. Otol Neurotol; 2016. 37, 685-91.
10.Saroul N, Gilain L, Montalban A, Giraudet F, Avan P, Mom T. Patient satisfaction and functional results with the bone-anchored hearing aid (BAHA). Eur Ann Otorhinolaryngol Head Neck Dis; 2011. 128, 107- 13.
11.Moreno-Alarcón I, Belinchón-Diego AB. Resultado funcional y social de los implantes osteointegrados. Ediciones Universidad de Salamanca. Rev. ORL; 2017. 8, 111- 17.
12.Kiringoda R and Lustig LR. A Meta-analysis of the Complications Associated With Osseointegrated Hearing Aids. Otol Neurotol; 2013. 34:790-94.
13.Calon TGA, Johansson ML, de Bruijn AJG, van den Berge H, Wagenaar M, Eichhorn E et. Al. Minimally Invasive Ponto Surgery Versus the Linear Incision Technique With Soft Tissue Preservation for Bone Conduction Hearing Implants: A Multicenter Randomized Controlled Trial. Otol Neurotol; 2018. 39:882–93.
14.Sardiwalla Y, Jufas N, and Morris DP. Direct cost comparison of minimally invasive punch technique versus traditional approaches for percutaneous bone anchored hearing devices. J Otolaryngol Head Neck Surg; 2017. 46.
15.Verheij E, Bezdjian A, Grolman W, Thomeer HG. A Systematic Review on Complications of Tissue Preservation Surgical Techniques in Percutaneous Bone Conduction Hearing Devices. Otol Neurotol; 2016. 37;829-37.
2.Gaeun K, Hyun MJ, Sun HL, Hee-Soon K, Jeong AK, Young JS. Efficacy of Bone-Anchored Hearing Aids in Single-Sided Deafness: A Systematic Review. Otol Neurotol; 2017. 38, 473-83
3.Sprinzl GM, Wolf-Magele A. The bonebridge Bone Conduction Hearing Implant: Indication criteria, surgery and systematic review of the literature. Clin Otolaryngol; 2016. 41, 331-43.
4.Lavilla-Martín-de-Valmaseda MJ, Cavalle-Garrido L, Huarte-Irujo A, Nu?ñez-Batalla F, Manrique-Rodriguez M, Ramos-Maci?as A et al. Guía clínica sobre implantes de conducción de vía ósea. Acta Otorrinolaringol Esp; 2019. 70, 105- 11.
5.Tjellström A, Lindström J, Hallén O, Albrektsson T, Brånemark PI. Osseointegrated titanium implants in the temporal bone. A clinical study on bone-anchored hearing aids. Am J Otol; 1981. 2, 304-10.
6.Snik AFM, Bosman AJ, Mylanus EAM, Cremers CWRJ. Candidacy for the Bone-Anchored Hearing Aid. Audiol Neurootol; 2004. 9,190–6.
7.Lazaro A, Artal R, Agreda B, Alfonso JI, Abenia JM, Rubio R et. Al. La implantaciíon de prótesis osteointegradas tipo B.A.H.A. Nuestra experiencia. O.R.L. Aragon; 2008. 11, 6-10.
8.Tjellström A, Håkansson B. The bone-anchored hearing aid. Design principles, indications, and long-term clinical results. Otolaryngol Clin North Am; 1995. 28, 53-72.
9.Gerdes T, Salcher RB, Schwab B, Lenarz T, Maier H. Comparison of audiological results between a transcutaneous and a percutaneous bone conduction instrument in conductive hearing loss. Otol Neurotol; 2016. 37, 685-91.
10.Saroul N, Gilain L, Montalban A, Giraudet F, Avan P, Mom T. Patient satisfaction and functional results with the bone-anchored hearing aid (BAHA). Eur Ann Otorhinolaryngol Head Neck Dis; 2011. 128, 107- 13.
11.Moreno-Alarcón I, Belinchón-Diego AB. Resultado funcional y social de los implantes osteointegrados. Ediciones Universidad de Salamanca. Rev. ORL; 2017. 8, 111- 17.
12.Kiringoda R and Lustig LR. A Meta-analysis of the Complications Associated With Osseointegrated Hearing Aids. Otol Neurotol; 2013. 34:790-94.
13.Calon TGA, Johansson ML, de Bruijn AJG, van den Berge H, Wagenaar M, Eichhorn E et. Al. Minimally Invasive Ponto Surgery Versus the Linear Incision Technique With Soft Tissue Preservation for Bone Conduction Hearing Implants: A Multicenter Randomized Controlled Trial. Otol Neurotol; 2018. 39:882–93.
14.Sardiwalla Y, Jufas N, and Morris DP. Direct cost comparison of minimally invasive punch technique versus traditional approaches for percutaneous bone anchored hearing devices. J Otolaryngol Head Neck Surg; 2017. 46.
15.Verheij E, Bezdjian A, Grolman W, Thomeer HG. A Systematic Review on Complications of Tissue Preservation Surgical Techniques in Percutaneous Bone Conduction Hearing Devices. Otol Neurotol; 2016. 37;829-37.
Gasós-Lafuente, A. M., Lavilla Martín De Valmaseda, M. J., Muniesa Del Campo, A., & Vallés-Varela, H. (2020). Percutaneous implants of bone conduction: 8-year evolution and results. Revista ORL, 12(2), 1–9. https://doi.org/10.14201/orl.23989
Most read articles by the same author(s)
- Fernando García-Curdi, Pamela Ellyette Benítez-Alonso, Yolanda Lois-Ortega, Manuel Moros-García, José Miguel Sebastián-Cortés, Héctor Vallés-Varela, Laterocervical nuchal-type fibroma. A case report , Revista ORL: Vol. 10 No. 4 (2019)
- Rocío García-Fernández, Ana María Gasós-Lafuente, María, María José Lavilla-Martín de Valmaseda, Parapharyngeal emphysema after fracture of the tympanic portion of the temporal bone . A case report , Revista ORL: Vol. 15 No. 2 (2024)
- Fernando García-Curdi, Mariano Andrés López-Vázquez, Yolanda Lois-Ortega, Rocío Ezpeleta-Badenas, Jessica López-Buil, Guillermo Gil-Grasa, Pablo Luis Vela-Gajón, Héctor Vallés-Varela, Hamman’s Syndrome: spontaneus pneumomediastinum presenting as cervicothoracic massive emphysema. A case report , Revista ORL: Vol. 10 No. 2 (2019)
- Rocío García-Fernández, Ana María Gasós-Lafuente, María Guallar-Larpa, María José Lavilla-Martín De Valmaseda, Parapharyngeal emphysema after fracture of the tympanic portion of the temporal bone. A systematic review , Revista ORL: Vol. 15 No. 2 (2024)
Downloads
Download data is not yet available.
+
−