Hostname: page-component-8448b6f56d-c4f8m Total loading time: 0 Render date: 2024-04-24T20:21:33.838Z Has data issue: false hasContentIssue false
  • English
  • Français

The Bonebridge active bone conduction system: a fast and safe technique for a middle fossa approach

Published online by Cambridge University Press:  01 April 2019

C Carnevale ,
M Tomás-Barberán ,
G Til-Pérez  and
P Sarría-Echegaray
C Carnevale
Affiliation:
Otorhinolaryngology Head and Neck Surgery Department, Son Espases University Hospital, Palma de Mallorca, Spain
M Tomás-Barberán
Affiliation:
Otorhinolaryngology Head and Neck Surgery Department, Son Espases University Hospital, Palma de Mallorca, Spain
G Til-Pérez*
Affiliation:
Otorhinolaryngology Head and Neck Surgery Department, Son Espases University Hospital, Palma de Mallorca, Spain
P Sarría-Echegaray
Affiliation:
Otorhinolaryngology Head and Neck Surgery Department, Son Espases University Hospital, Palma de Mallorca, Spain
*
Author for correspondence: Dr Guillermo Til-Pérez, Carretera de Valldemosa, 79. 07210 Servicio ORL, Hospital Universitario Son Espases, Palma de Mallorca, Balearic Islands, Spain E-mail: guillermotil@orlmallorca.com Fax: +34 971 176 745
Get access Rights & Permissions [Opens in a new window]

Abstract

Background

The transmastoid pre-sigmoid approach is always the preferred choice for implantation of the Bonebridge active bone conduction system in patients with a normal anatomy. When an anatomical variant exists or a previous surgery has been performed, a retrosigmoid approach or middle fossa approach can be performed.

Methods

The preferred surgical technique for a middle fossa approach is described. A 14 mm drill head (Neuro Drill) was used to create the bed at the squamous portion of the temporal bone. Surgical time and complication rate were analysed.

Results

The surgical time was shorter than 30 minutes in all cases, and only 14 seconds were needed to create a 14 mm bone bed. No complications were observed during the follow-up period (6–45 months).

Conclusion

Use of the Neuro Drill for the middle fossa approach is an easy technique. It significantly decreases the surgical time, without increasing the complication rate.

Keywords

Bone ConductionTemporal BoneHearing LossDeafness
Type
Short Communication
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 4 , April 2019 , pp. 344 - 347
Copyright
Copyright © JLO (1984) Limited, 2019 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr G Til-Pérez takes responsibility for the integrity of the content of the paper

References

1Zernotti, ME, Sarasty, AB. Active bone conduction prosthesis: Bonebridge(TM). Int Arch Otorhinolaryngol 2015;19:343–8Google Scholar
2Sprinzl, G, Lenarz, T, Ernst, A, Hagen, R. First European multicenter results with a new transcutaneous bone conduction hearing implant system: short-term safety and efficacy. Otol Neurotol 2013;34:1076–83Google Scholar
3Manrique, M, Sanhueza, I, Manrique, R, de Abajo, J. A new bone conduction implant: surgical technique and results. Otol Neurotol 2014;35:216–20Google Scholar
4Sprinzl, GM, Wolf-Magele, A. The Bonebridge bone conduction hearing implant: indication criteria, surgery and a systematic review of the literature. Clin Otolaryngol 2016;41:131–43Google Scholar
5Canis, M, Ihler, F, Blum, J, Matthias, C. CT-assisted navigation for retrosigmoidal implantation of the Bonebridge [in German]. HNO 2013;61:1038–44Google Scholar
6Rivas, JA, Rincón, LA, Garcia, L, Rivas, A, Tamayo, C, Forero, VH. Percutaneous, transcutaneous bone conduction hearing implants: comparison [in Spanish]. Acta de Otorrinolaringología & Cirugía de Cabeza y Cuello 2013;41:17–24Google Scholar
7Law, EK, Bhatia, KS, Tsang, WS, Tong, MC, Shi, L. CT pre-operative planning of a new semi-implantable bone conduction hearing device. Eur Radiol 2016;26:1686–95Google Scholar
8Barbara, M, Perotti, M, Gioia, B, Volpini, L, Monini, S. Transcutaneous bone-conduction hearing device: audiological and surgical aspects in a first series of patients with mixed hearing loss. Acta Otolaryngol 2013;133:1058–64Google Scholar
9Zernotti, ME, di Gregorio, MF, Galeazzi, P, Tabernero, P. Comparative outcomes of active and passive hearing devices by transcutaneous bone conduction. Acta Otolaryngol 2016;136:556–8Google Scholar
10Lassaletta, L, Sanchez-Cuadrado, I, Muñoz, E, Gavilan, J. Retrosigmoid implantation of an active bone conduction stimulator in a patient with chronic otitis media. Auris Nasus Larynx 2014;41:84–7Google Scholar
Supplementary material: File

Carnevale et al. supplementary material

Carnevale et al. supplementary material 1

Download Carnevale et al. supplementary material(File)
File 3.4 MB