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Rigshospitalet - a part of Copenhagen University Hospital
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Clinical Outcome of a Wide-diameter Bone-anchored Hearing Implant and a Surgical Technique With Tissue Preservation

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OBJECTIVE: To investigate the clinical outcome of a surgical technique with tissue preservation for a wide bone-anchored hearing implant concerning postoperative complications, skin reactions, implant loss, and implant stability.

STUDY DESIGN: Consecutive, prospective case series.

SETTING: Tertiary referral center.

PATIENTS: Twenty-four adult patients with normal skin quality were enrolled.

INTERVENTION(S): Implantation of bone-anchored implant was performed using a one-stage linear-incision technique with tissue preservation surgery.

MAIN OUTCOME MEASURES(S): Skin and soft tissue reactions according to Holgers grading system. Pain and numbness measured according to visual analogue scale. Implant stability quotient values were recorded using resonance frequency analysis. Follow-up at 10 days, 6 weeks, 6 months, and 1 year after surgery.

RESULTS: Primary implant stability was good and a significant increase in implant stability quotient occurred during the first 10 days and continued to be stable throughout the 1-year observation period. No implants were lost. Skin and soft tissue reactions were few, no reaction (Holger grade 0) was observed in 88% of the follow-up examinations and no grade 4 reactions occurred. Pain and numbness were minimal.

CONCLUSION: The wide implant showed good stability initially and throughout the observation period. Skin and soft tissue reactions were rare and minor. No implants were lost.

Original languageEnglish
JournalOtology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
Volume37
Issue number4
Pages (from-to)374-9
Number of pages6
ISSN1531-7129
DOIs
Publication statusPublished - Apr 2016

    Research areas

  • Adult, Cochlear Implantation, Cochlear Implants, Female, Hearing, Hearing Loss, Humans, Male, Middle Aged, Osseointegration, Pain, Postoperative Complications, Prospective Studies, Suture Anchors, Journal Article

ID: 52617844