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

Published online by Cambridge University Press:  29 June 2007

E. A. M. Mylanus  and
C. W. R. J. Cremers
E. A. M. Mylanus*
Affiliation:
Department of Otorhinolaryngology, University Hospital Nijmegen, Nijmegen, The Netherlands.
C. W. R. J. Cremers
Affiliation:
Department of Otorhinolaryngology, University Hospital Nijmegen, Nijmegen, The Netherlands.
*
Mr E. A. M. Mylanus. University Hospital Nijmegen, ENT Department, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands. Fax: 80540251.
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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.

Keywords

Hearing aid, bone conductionHearing loss, partialImplants, artificialTitanium
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 108 , Issue 12 , December 1994 , pp. 1031 - 1035
Copyright
Copyright © JLO (1984) Limited 1994

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Footnotes

This study was supported by grants from, the Fund to initiate investigative medicine of the University Hospital Nijmegen, and from the fund of Investigative Medicine of the Ziekenfondsraad of The Netherlands.

References

Abramson, M., Fay, T. H., Kelly, J. P., Wazen, J. J., Liden, G., Tjellström, A. (1989) Clinical results with a percutaneous bone anchored hearing aid. Laryngoscope 99: 707–710.CrossRefGoogle ScholarPubMed
Adell, R., Lekholm, U., Rockler, B., Brånemark, P.-I. (1981) A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. International Journal of Oral Surgery 10: 387–416.CrossRefGoogle ScholarPubMed
Albrektsson, T., Brånemark, P.-I., Hansson, H.-A., Lindström, J. (1981) Osseointegrated titanium implants. Requirements for ensuring long lasting, direct bone-to-implant anchorage in man. Acta Orthopaedica Scandinavia, 52: 155–170.CrossRefGoogle ScholarPubMed
Albrektsson, T., Brånemark, P.-I., Jacobsson, M., Tjellström, A. (1986) Present clinical applications of osseointegrated percutaneous implants. Plastic and Reconstructive Surgery 79: 721–730.CrossRefGoogle Scholar
Bonding, P., Ahlgien, P., Dige-Petersen, H. (1992) Permanent, skin penetrating, bone anchored titanium implants. A clinical study of host reaction in bone and soft tissue. Acta Oto-laryngologica (Stockholm) 112: 455–461.CrossRefGoogle ScholarPubMed
Brånemark, P.-I., Albrektsson, T. (1982) Titanium implants permanently penetrating human skin. Scandinavian Journal of Plastic and Reconstructive Surgery 16: 17–21.CrossRefGoogle ScholarPubMed
Brånemark, P.-I., Breine, U., Adell, R., Hansson, B.-O.. Linström, J., Ohlsson, A. (1969) Intra-osseous anchorage of dental prostheses. I. Experimental studies. Scandinavian Journal of Plastic and Reconstructive Surgery 3: 81–100.CrossRefGoogle ScholarPubMed
Cutler, S. J., Ederer, F. (1958) Maximum utilization of the life table method in analyzing survival. Journal of Chronic Disorders 8: 699–712.CrossRefGoogle ScholarPubMed
Håkansson, B., Tjellström, A.. Rosenhall, U., Carlsson, P. (1985) The bone-anchored hearing aid: principle design and a psychoacoustical evaluation. Acta Oto-laryngologica (Stockholm) 100: 229–239.CrossRefGoogle Scholar
Håkansson, B., Liden, B., Tjellström, A., Ringdahl, A., Jacobsson, M., Carlsson, P., Erlandsson, B.-E. (1990) Ten years of experience with the Swedish bone-anchored hearing system. Annals of Otology, Rhinology and Laryngology 99 (Suppl. 151): 1–16.Google Scholar
Holgers, K.-M., Tjellström, A., Bjursten, L. M., Erlandsson, B.-E. (1988) Soft tissue reaction around percutaneous implants: a clinical study of soft tissue conditions around skin-penetrating titanium implants for bone anchored hearing aids. American Journal of Otology 9: 56–59.Google ScholarPubMed
Lindström, J., Brånemark, P.-I., Albrektsson, T. (1981) Mandibular reconstruction using the preformed autologous bone graft. Scandinavian Journal of Plastic and Reconstructive Surgery 15: 29–38.CrossRefGoogle ScholarPubMed
Mylanus, E., Cremers, C., Snik, A., Van den Berge, N. (1994) Clinical results of percutaneous implants in the temporal bone. Archives of Otolaryngology, Head and Neck Surgery 120: 81–85.CrossRefGoogle ScholarPubMed
Proops, D., Wake, M. (1993) A single stage technique for the BAHA. Book of Abstracts. Third International Winter Seminar on Implants in Craniofacial Rehabilitation and Audiology,Selva Val Gardena Biomaterials Club, University of Götebora,Sweden. p 45.Google Scholar
Tjellström, A., Rosenhall, U., Lindström, J.. Hallen, O., Albrektsson, T., Brånemark, P.-I. (1983) Five-year experience with skin penetrating bone-anchored implants in the temporal bone. Acta Oto-laryngologica (Stockholm) 95: 568–575.CrossRefGoogle ScholarPubMed
Tjellström, A. (1985) Percutaneous implants in clinical practice. CRC Critic Reviews Biocompatibility 1: 205–228.Google Scholar
Tjellström, A. (1991) A one or a two-stage procedure? Book of Abstracts. First International Winter Seminar on Implants in Craniofacial Rehabilitation and Audiology,Lech am Arlberg Biomaterials Club. University of Göteborg,Sweden, p 36.Google Scholar
Tjellström, A., Granström, G. (1993) The one-stage procedure for implant in the mastoid. Book of Abstracts. Third International Winter Seminar on Implants in Craniofacial Rehabilitation and Audiology,Selva Val Gardena Biomaterials Club, University of Göteborg,Sweden, p 46.Google Scholar