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A one-stage surgical procedure for placement of percutaneous implants for the bone-anchored hearing aid

Identifieur interne : 00B110 ( Main/Merge ); précédent : 00B109; suivant : 00B111

A one-stage surgical procedure for placement of percutaneous implants for the bone-anchored hearing aid

Auteurs : E. A. M. Mylanus [Pays-Bas] ; C. W. R. J. Cremers [Pays-Bas]

Source :

RBID : ISTEX:69735AC74B15AF4AC23FA36F92212E1A5D12B545

Abstract

The bone-anchored hearing aid (BAHA) is an alternative to the conventional bone conduction hearing aid. The transducer is coupled to a percutaneous titanium implant which is traditionally inserted into the temporal bone in two stages. This study focusses on a one-stage surgical technique for the implantation of percutaneous implants. The preliminary clinical results of 33 one-stage implants in 33 patients are presented. Post-operative necrosis of the skin grafts did not occur. After a follow-up which varied from nine to 25 months, 31 out of the 33 fixtures (94 per cent) were anchored firmly in the skull. Twenty-six out of the 33 implants (79 per cent) remained free from potentially dangerous skin reactions. The results were statistically comparable to those obtained with two-stage implants at the same clinic. Although longer follow-up is needed before a general statement can be made about replacing the two-stage technique, the preliminary one-stage results are promising.

Url:
DOI: 10.1017/S002221510012883X

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ISTEX:69735AC74B15AF4AC23FA36F92212E1A5D12B545

Le document en format XML

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<name sortKey="Cremers, C W R J" sort="Cremers, C W R J" uniqKey="Cremers C" first="C. W. R. J." last="Cremers">C. W. R. J. Cremers</name>
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<title level="j">The Journal of Laryngology & Otology</title>
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<div type="abstract">The bone-anchored hearing aid (BAHA) is an alternative to the conventional bone conduction hearing aid. The transducer is coupled to a percutaneous titanium implant which is traditionally inserted into the temporal bone in two stages. This study focusses on a one-stage surgical technique for the implantation of percutaneous implants. The preliminary clinical results of 33 one-stage implants in 33 patients are presented. Post-operative necrosis of the skin grafts did not occur. After a follow-up which varied from nine to 25 months, 31 out of the 33 fixtures (94 per cent) were anchored firmly in the skull. Twenty-six out of the 33 implants (79 per cent) remained free from potentially dangerous skin reactions. The results were statistically comparable to those obtained with two-stage implants at the same clinic. Although longer follow-up is needed before a general statement can be made about replacing the two-stage technique, the preliminary one-stage results are promising.</div>
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