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Complications of bone-anchored hearing aid implantation

Published online by Cambridge University Press:  08 December 2009

J C Hobson ,
A J Roper ,
R Andrew ,
M P Rothera ,
P Hill  and
K M Green
J C Hobson*
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Hope Hospital, Salford, UK
A J Roper
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Manchester Royal Infirmary, UK
R Andrew
Affiliation:
Department of Audiology, Manchester Royal Infirmary, UK
M P Rothera
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Hope Hospital, Salford, UK
P Hill
Affiliation:
Department of Audiology, Manchester Royal Infirmary, UK
K M Green
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Hope Hospital, Salford, UK Department of Otolaryngology-Head and Neck Surgery, Manchester Royal Infirmary, UK
*
Address for correspondence: Mr Jonathan Hobson, 20 Claremont Grove, Manchester M20 2GL, UK. Fax: +44 7092 039313 E-mail: jonathanhobson@gmail.com
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Abstract

Introduction:

Bone-anchored hearing aid implantations have been performed in Manchester for over 20 years. This study examined a range of variables that can occur during the implantation process, and the effect they may have on successful outcome.

Method:

Retrospective study and literature review.

Location:

Tertiary referral centre in central Manchester.

Results:

Details of 602 bone-anchored hearing aid implantation procedures were retrieved from the departmental database. The overall complication rate was 23.9 per cent. The rate of revision surgery was 12.1 per cent.

Conclusion:

This study involved a significantly larger number of patients than any previously reported, similar study. Possible reasons for differences in outcomes, and recommendations for best practice, are discussed.

Keywords

AdultChildHearing AidsHearing LossPostoperative ComplicationsProstheses And ImplantsRetrospective StudiesSurgical Wound InfectionTreatment Outcome

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 2 , February 2010 , pp. 132 - 136
Copyright
Copyright © JLO (1984) Limited 2009

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References

1Tjellström, A, Håkansson, B, Granström, G. Bone-anchored hearing aids: current status in adults and children. Otolaryngol Clin North Am 2001;34:337–64CrossRefGoogle ScholarPubMed
2Snik, AF, Mylanus, EA, Proops, DW, Wolfaardt, JF, Hodgetts, WE, Somers, T et al. Consensus statements on the BAHA system: where do we stand at present? Ann Otol Rhinol Laryngol Suppl 2005;195:2–12CrossRefGoogle ScholarPubMed
3Tjellström, A, Lindström, J, Hallén, O, Albrektsson, T, Brånemark, PI. Osseointegrated titanium implants in the temporal bone. A clinical study on bone-anchored hearing aids. Am J Otol 1981;2:304–10Google ScholarPubMed
4Proops, DW. The Birmingham bone anchored hearing aid programme: surgical methods and complications. J Laryngol Otol 1996;21 (suppl 1):7–12CrossRefGoogle ScholarPubMed
5Granström, G. Osseointegrated implants in children. Acta Otolaryngol Suppl 2000;543:118–21CrossRefGoogle ScholarPubMed
6McLarnon, CM, Davison, T, Johnson, IJ. Bone-anchored hearing aid: comparison of benefit by patient subgroups. Laryngoscope 2004;114:942–4CrossRefGoogle ScholarPubMed
7Hol, MK, Bosman, AJ, Snik, AF, Mylanus, EA, Cremers, CW. Bone-anchored hearing aid in unilateral inner ear deafness: a study of 20 patients. Audiol Neurootol 2004;9:274–81CrossRefGoogle ScholarPubMed
8Baguley, DM, Bird, J, Humphriss, RL, Prevost, AT. The evidence base for the application of contralateral bone anchored hearing aids in acquired unilateral sensorineural hearing loss in adults. Clin Otolaryngol 2006;31:6–14CrossRefGoogle ScholarPubMed
9Wazen, JJ, Spitzer, JB, Ghossaini, SN, Fayad, JN, Niparko, JK, Cox, K et al. Transcranial contralateral cochlear stimulation in unilateral deafness. Otolaryngol Head Neck Surg 2003;129:248–54CrossRefGoogle ScholarPubMed
10Davids, T, Gordon, KA, Clutton, D, Papsin, BC. Bone-anchored hearing aids in infants and children younger than 5 years. Arch Otolaryngol Head Neck Surg 2007;133:51–5CrossRefGoogle ScholarPubMed
11Gillett, D, Fairley, JW, Chandrashaker, TS, Bean, A, Gonzalez, J. Bone-anchored hearing aids: results of the first eight years of a programme in a district general hospital, assessed by the Glasgow benefit inventory. J Laryngol Otol 2006;120:537–42CrossRefGoogle Scholar
12Goodyear, PWA, Raine, C, Wallace, HC, Firth, A. The development of a BAHA program: a review of complications and outcomes, 1991–2002. Otolaryngol Head Neck Surg 2004;131:148–9CrossRefGoogle Scholar
13House, JW, Kutz, JW. Bone-anchored hearing aids: incidence and management of postoperative complications. Otol Neurotol 2007;28:213–17CrossRefGoogle ScholarPubMed
14Kim, HA, El-Kashan, HK, Arts, A. Bone anchored hearing aid (BAHA): complications and pitfalls. Otolaryngol Head Neck Surg 2005;133:190CrossRefGoogle Scholar
15Kohan, D, Morris, LG, Romo, T. Single-stage BAHA implantation in adults and children: is it safe? Otolaryngol Head Neck Surg 2008;138:662–6CrossRefGoogle ScholarPubMed
16Lloyd, S, Almeyda, J, Sirimanna, KS, Albert, DM, Bailey, CM. Updated surgical experience with bone-anchored hearing aids in children. J Laryngol Otol 2007;121:826–31CrossRefGoogle ScholarPubMed
17Lustig, LR, Arts, HA, Brackmann, DE, Francis, HF, Molony, T, Megerian, CA et al. Hearing rehabilitation using the BAHA bone-anchored hearing aid: results in 40 patients. Otol Neurotol 2001;22:328–34CrossRefGoogle ScholarPubMed
18McDermott, AL, Williams, J, Kuo, M, Reid, A, Proops, D. The Birmingham pediatric bone-anchored hearing aid program: a 15-year experience. Otol Neurotol 2009;30:178–83CrossRefGoogle Scholar
19Monroy Barreneche, JF, Jaramillo Saffon, R, Paredes, D, Prieto Rivera, JA, Guzmán, JE, Lora Falquez, JG. First two years of experience with BAHA: results in 12 patients [in Spanish]. Acta Otorrinolaringol Esp 2007;58:434–6CrossRefGoogle ScholarPubMed
20Sheehan, PZ, Hans, PS. UK and Ireland experience of bone anchored hearing aids (BAHA) in individuals with Down syndrome. Int J Pediatr Otorhinolaryngol 2006;70:981–6Google Scholar
21Shirazi, MA, Marzo, SJ, Leonetti, JP. Perioperative complications with the bone-anchored hearing aid. Otolaryngol Head Neck Surg 2006;134:236–9CrossRefGoogle ScholarPubMed
22Wazen, JJ, Young, DL, Farrugia, MC, Chandrasekhar, SS, Ghossaini, SN, Borik, J et al. Successes and complications of the BAHA system. Otol Neurotol 2008;29:1115–19CrossRefGoogle ScholarPubMed
23Yellon, RF. Bone anchored hearing aid in children – prevention of complications. Int J Pediatr Otorhinolaryngol 2007;71:823–6CrossRefGoogle ScholarPubMed
24Zeitoun, H, De, R, Thompson, SD, Proops, DW. Osseointegrated implants in the management of childhood ear abnormalities: with particular emphasis on complications. J Laryngol Otol 2002;116:87–91CrossRefGoogle ScholarPubMed
25Woolford, TJ, Morris, DP, Saeed, SR, Rothera, MP. The implant-site split-skin graft technique for the bone-anchored hearing aid. Clin Otolaryngol Allied Sci 1999;24:177–80CrossRefGoogle ScholarPubMed
26Stalfors, J, Tjellström, A. Skin reactions after BAHA surgery: a comparison between the U-graft technique and the BAHA dermatome. Otol Neurotol 2008;29:1109–14Google Scholar
27Mylanus, EA, Cremers, CW. A one-stage surgical procedure for placement of percutaneous implants for the bone-anchored hearing aid. J Laryngol Otol 1994;108:1031–5Google Scholar
28Tjellström, A, Rosenhall, U, Lindström, J, Hallén, O, Albrektsson, T, Brånemark, PI. Five-year experience with skin-penetrating bone-anchored implants in the temporal bone. Acta Otolaryngol 1983;95:568–75CrossRefGoogle ScholarPubMed
29Browning, GG. Bone conduction implants. Laryngoscope 1990;100:1018–19CrossRefGoogle ScholarPubMed
30Scholz, M, Eufinger, H, Anders, A, Illerhaus, B, König, M, Schmieder, K et al. Intracerebral abscess after abutment change of a bone anchored hearing aid (BAHA). Otol Neurotol 2003;24:896–9CrossRefGoogle ScholarPubMed
31Falcone, MT, Kaylie, DM, Labadie, RF, Haynes, DS. Bone-anchored hearing aid abutment skin overgrowth reduction with clobetasol. Otolaryngol Head Neck Surg 2008;139:829–32CrossRefGoogle ScholarPubMed