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Long-term results of 185 consecutive osseointegrated hearing device implantations: a comparison among children, adults, and elderly

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@article{2acb34efdf2740e49e172f614251c89a,
title = "Long-term results of 185 consecutive osseointegrated hearing device implantations: a comparison among children, adults, and elderly",
abstract = "OBJECTIVE: To determine the occurrence and type of perioperative and postoperative complications in patients implanted with an osseointegrated hearing device (OHD) (also known as BAHA/BAHS) and compare results in children, adults, and elderly and for different surgical techniques.STUDY DESIGN: Retrospective case file review.SETTING: Tertiary referral center.PATIENTS: Patients implanted with an OHD between 2004 and 2012, with more than 6 months of follow-up.INTERVENTION: OHD implantation.MAIN OUTCOME MEASURES: Implant loss, adverse skin reactions (Holgers' score, ≥2), skin overgrowth, and discomfort resulting in abutment and/or implant removal.RESULTS: One hundred eighty-five implantations in 176 patients were reviewed. Overall, 3.8{\%} of the implants were lost spontaneously after a mean of 2.5 years. Implant loss in children was 18{\%} versus 2.5{\%} in adults and 3.8{\%} in elderly. Adverse skin reactions occurred in 14{\%} of observations overall; in 10{\%} in children compared with 16{\%} in adults and 9{\%} in elderly. Partial or total skin overgrowth was seen in 4{\%} and 6{\%} of the observations in children and adults, respectively, whereas none of the elderly experienced this problem. The abutment was removed because of discomfort and/or no benefit in 10{\%} overall, in 13{\%} of adults, and in 6{\%} of the elderly; none of the children opted for removal. Linear incision technique showed fewest complications.CONCLUSION: OHD implantation is a procedure with few major complications. Adverse skin reaction is the most common complication. Children lose the implant more frequently than adults. Elderly patients have less adverse skin reactions/skin overgrowth. Discomfort leading to abutment removal is a concern especially among adults.",
author = "{Calvo Bodnia}, Nadia and Soren Foghsgaard and {Nue M{\o}ller}, Martin and Per Cay{\'e}-Thomasen",
year = "2014",
month = "12",
doi = "10.1097/MAO.0000000000000543",
language = "English",
volume = "35",
pages = "e301--6",
journal = "Otology and Neurotology",
issn = "1531-7129",
publisher = "Lippincott Williams & Wilkins",
number = "10",

}

RIS

TY - JOUR

T1 - Long-term results of 185 consecutive osseointegrated hearing device implantations

T2 - a comparison among children, adults, and elderly

AU - Calvo Bodnia, Nadia

AU - Foghsgaard, Soren

AU - Nue Møller, Martin

AU - Cayé-Thomasen, Per

PY - 2014/12

Y1 - 2014/12

N2 - OBJECTIVE: To determine the occurrence and type of perioperative and postoperative complications in patients implanted with an osseointegrated hearing device (OHD) (also known as BAHA/BAHS) and compare results in children, adults, and elderly and for different surgical techniques.STUDY DESIGN: Retrospective case file review.SETTING: Tertiary referral center.PATIENTS: Patients implanted with an OHD between 2004 and 2012, with more than 6 months of follow-up.INTERVENTION: OHD implantation.MAIN OUTCOME MEASURES: Implant loss, adverse skin reactions (Holgers' score, ≥2), skin overgrowth, and discomfort resulting in abutment and/or implant removal.RESULTS: One hundred eighty-five implantations in 176 patients were reviewed. Overall, 3.8% of the implants were lost spontaneously after a mean of 2.5 years. Implant loss in children was 18% versus 2.5% in adults and 3.8% in elderly. Adverse skin reactions occurred in 14% of observations overall; in 10% in children compared with 16% in adults and 9% in elderly. Partial or total skin overgrowth was seen in 4% and 6% of the observations in children and adults, respectively, whereas none of the elderly experienced this problem. The abutment was removed because of discomfort and/or no benefit in 10% overall, in 13% of adults, and in 6% of the elderly; none of the children opted for removal. Linear incision technique showed fewest complications.CONCLUSION: OHD implantation is a procedure with few major complications. Adverse skin reaction is the most common complication. Children lose the implant more frequently than adults. Elderly patients have less adverse skin reactions/skin overgrowth. Discomfort leading to abutment removal is a concern especially among adults.

AB - OBJECTIVE: To determine the occurrence and type of perioperative and postoperative complications in patients implanted with an osseointegrated hearing device (OHD) (also known as BAHA/BAHS) and compare results in children, adults, and elderly and for different surgical techniques.STUDY DESIGN: Retrospective case file review.SETTING: Tertiary referral center.PATIENTS: Patients implanted with an OHD between 2004 and 2012, with more than 6 months of follow-up.INTERVENTION: OHD implantation.MAIN OUTCOME MEASURES: Implant loss, adverse skin reactions (Holgers' score, ≥2), skin overgrowth, and discomfort resulting in abutment and/or implant removal.RESULTS: One hundred eighty-five implantations in 176 patients were reviewed. Overall, 3.8% of the implants were lost spontaneously after a mean of 2.5 years. Implant loss in children was 18% versus 2.5% in adults and 3.8% in elderly. Adverse skin reactions occurred in 14% of observations overall; in 10% in children compared with 16% in adults and 9% in elderly. Partial or total skin overgrowth was seen in 4% and 6% of the observations in children and adults, respectively, whereas none of the elderly experienced this problem. The abutment was removed because of discomfort and/or no benefit in 10% overall, in 13% of adults, and in 6% of the elderly; none of the children opted for removal. Linear incision technique showed fewest complications.CONCLUSION: OHD implantation is a procedure with few major complications. Adverse skin reaction is the most common complication. Children lose the implant more frequently than adults. Elderly patients have less adverse skin reactions/skin overgrowth. Discomfort leading to abutment removal is a concern especially among adults.

U2 - 10.1097/MAO.0000000000000543

DO - 10.1097/MAO.0000000000000543

M3 - Journal article

VL - 35

SP - e301-6

JO - Otology and Neurotology

JF - Otology and Neurotology

SN - 1531-7129

IS - 10

ER -

ID: 44956102