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Bonebridge transcutaneous bone conduction implant in children with congenital aural atresia: surgical and audiological outcomes

Published online by Cambridge University Press:  16 July 2018

L X Ngui
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Sarawak General Hospital, Malaysia
I P Tang*
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Sarawak General Hospital, Malaysia Department of Otorhinolaryngology – Head and Neck Surgery, Universiti Malaysia Sarawak, Malaysia
*
Author for correspondence: Dr Ing Ping Tang, Department of Otorhinolaryngology – Head and Neck Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, Jalan Datuk Mohd Musa, 94300 Kota Samarahan, Sarawak, Malaysia E-mail: ingptang@yahoo.com

Abstract

Objectives

To investigate the surgical and audiological outcomes of the Bonebridge transcutaneous bone conduction hearing implant among children with congenital aural atresia.

Methods

Six children were recruited and underwent Bonebridge transcutaneous bone conduction implant surgery. The patients’ audiometric thresholds for air conduction, bone conduction and sound-field tests were assessed pre-operatively and at six months post-operatively. Patients’ satisfaction was assessed at six months post-operatively with the Hearing Device Satisfaction Scale.

Results

No major complications were reported. Mean aided sound-field thresholds improved post-operatively by more than 30 dB for 0.5–4 kHz (p < 0.05). Mean unaided air conduction and bone conduction thresholds differed by less than 5 dB post-operatively (compared to pre-operatively) for 0.5–4 kHz; these findings were not significant (p > 0.05). All patients were satisfied (scores were over 90 per cent) with the implant in terms of functional outcome and cosmetic appearance.

Conclusion

Bonebridge transcutaneous bone conduction implant surgery is safe and effective among children with congenital aural atresia with conductive hearing loss.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited, 2018 

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Footnotes

Dr I P Tang takes responsibility for the integrity of the content of the paper

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