Novel Surgical Technique in Active Bone Conduction: Minimally Invasive Approach to Fully Implantable Osseointegrated Implant.
Tiffany Peng HwaGarrett LocketzMichael J RuckensteinPublished in: Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery (2021)
We report our experience using a novel minimally invasive surgical technique for implantation of a fully implantable active bone conduction implant. This was a retrospective review of 16 adults, including 10 women and 6 men. The mean age was 54 years. Hearing loss profiles included 8 with mixed hearing loss, 5 with conductive hearing loss, and 3 with single-sided deafness. Nine patients underwent placement through the standard approach and 7 with the minimally invasive approach. There were no postoperative complications at a mean follow-up of 6.5 months (SD, 4; range, 1.5-12), and all patients received audiologic benefit with objective improvement in sound-field thresholds upon activation. Mean operative time was shorter with the minimally invasive approach (64 vs 41 minutes, P = .01). The fully implantable bone-anchored auditory implant can be effectively placed via a minimally invasive incision, with potential benefits of decreased operative time, low risk for intra- and postoperative complications, and rapid healing.
Keyphrases
- minimally invasive
- hearing loss
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- soft tissue
- newly diagnosed
- chronic kidney disease
- robot assisted
- bone mineral density
- peritoneal dialysis
- prognostic factors
- type diabetes
- working memory
- patient reported outcomes
- gold nanoparticles
- pregnant women
- ultrasound guided
- adipose tissue
- body composition
- risk assessment
- bone loss
- middle aged
- patient reported
- reduced graphene oxide