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Bone conduction implants – a rapidly developing field

Published online by Cambridge University Press:  07 September 2015

R C Edmiston ,
R Aggarwal  and
K M J Green
R C Edmiston*
Affiliation:
ENT Department, Manchester Royal Infirmary, UK
R Aggarwal
Affiliation:
ENT Department, Salford Royal Hospital, UK
K M J Green
Affiliation:
ENT Department, Manchester Royal Infirmary, UK
*
Address for correspondence: Ms R Edmiston, ENT Department, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK E-mail: Rachel.edmiston@nhs.net
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Abstract

Background:

Since their introduction in 1977, the technology and surgical techniques surrounding the use and application of bone-anchored hearing devices have developed considerably.

Objective:

This article reviews current developments in the use of bone-anchored hearing devices, looking at the possible options for patients, complications encountered and future possibilities.

Conclusion:

Advances in surgical technique are described, with the move towards the use of linear incisions and no soft tissue reduction. Methods for preventing complications are analysed, with review of different abutments and the introduction of the active bone conduction implant.

Keywords

Hearing LossHearing AidsBone Conduction Hearing
Type
Review Article
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 10 , October 2015 , pp. 936 - 940
Copyright
Copyright © JLO (1984) Limited 2015 

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References

1National Council on Aging. The Consequences of Untreated Hearing Loss in Older Persons: Summary. Washington DC: National Council on Aging, 2006Google Scholar
2Crandall, C.Hearing aids: their effect on functional health status. Hear J 1998;51:22–30CrossRefGoogle Scholar
3Albrektsson, T, Brånemark, PI, Hansson, HA, Lindström, J.Osseointegrated titanium implants. Requirements for ensuring a long-lasting, direct bone-to-implant anchorage in man. Acta Orthop Scand 1981;52:155–70CrossRefGoogle ScholarPubMed
4Dutt, SN, Proops, DW.The Bone Anchored Hearing Aid (BAHA) – state of the art. CME Bulletin Otorhinolaryngology Head & Neck Surgery 2003;7:4–7Google Scholar
5Berger, KW.Early bone conduction hearing aid devices. Arch Otolaryngol 1976;102:315–18CrossRefGoogle ScholarPubMed
6Tjellström, A, Granström, G.Long-term follow-up with the bone-anchored hearing aid: a review of the first 100 patients between 1977 and 1985. Ear Nose Throat J 1994;73:112–14CrossRefGoogle ScholarPubMed
7Mylanus, EA, van der Pouw, KC, Snik, AF, Cremers, CW.Intraindividual comparison of the bone-anchored hearing aid and air-conduction hearing aids. Arch Otolaryngol Head Neck Surg 1998;124:271–6CrossRefGoogle ScholarPubMed
8Iwasaki, S, Hashimoto, Y, Nagura, M, Takebayashi, S, Mizuta, K.Comparison of audiological performance between bone-anchored and conventional hearing aids [in Japanese]. Nihon Jibiinkoka Gakkai Kaiho 2005;108:1110–13CrossRefGoogle ScholarPubMed
9NHS Commissioning Board Clinical Reference Group for Specialised Ear Surgery. Clinical Commissioning Policy: Bone Anchored Hearing Aids. NHS Commissioning Board (electronic only), 2013Google Scholar
10McLarnon, CM, Davison, T, Johnson, IJ.Bone-anchored hearing aid: comparison of benefit by patient subgroups. Laryngoscope 2004;114:942–4CrossRefGoogle ScholarPubMed
11Bosman, AJ, Snik, AF, van der Pouw, CT, Mylanus, EA, Cremers, CW.Audiometric evaluation of bilaterally fitted bone-anchored hearing aids. Audiology 2001;40:158–67CrossRefGoogle ScholarPubMed
12Husseman, J, Szudek, J, Monksfield, P, Power, D, O'Leary, S, Briggs, R. Simplified bone-anchored hearing aid insertion using a linear incision without soft tissue reduction. J Laryngol Otol 2013;127(suppl 2):S33–8CrossRefGoogle ScholarPubMed
13Hobson, JC, Roper, AJ, Andrew, R, Rothera, MP, Hill, P, Green, KM.Complications of bone-anchored hearing aid implantation. J Laryngol Otol 2010;124:132–6CrossRefGoogle ScholarPubMed
14Mudry, A.Bone-anchored hearing aids (BAHA): skin healing process for skin flap technique versus linear incision technique in the first three months after the implantation. Rev Laryngol Otol Rhinol (Bord) 2009;130:281–4Google ScholarPubMed
15Pelosi, S, Chandrasekhar, SS.Soft tissue overgrowth in bone-anchored hearing aid patients: use of 8.5 mm abutment. J Laryngol Otol 2011;125:576–9CrossRefGoogle ScholarPubMed
16Larsson, A, Wigren, S, Andersson, M, Ekeroth, G, Flynn, M, Nannmark, U.Histologic evaluation of soft tissue integration of experimental abutments for bone anchored hearing implants using surgery without soft tissue reduction. Otol Neurotol 2012;33:1445–51CrossRefGoogle ScholarPubMed
17Zawawi, F, Kabbach, G, Lallemand, M, Daniel, SJ.Bone-anchored hearing aid: why do some patients refuse it? Int J Pediatr Otorhinolaryngol 2014;78:232–4CrossRefGoogle Scholar
18Flynn MC. Design Concept and Technological Considerations for the Cochlear BAHA 4 Attract System. Mölnlycke: Cochlear Bone Anchored Solutions, 2013Google Scholar
19Long-Term Use of Sophono Systems in Germany: Long-Term Follow-Up and Skin-Integrity Study with Sophono Systems. In: http://sophono.com/bone-conduction-aid/S0584-05-rA-Siegert.pdf [13 July 2015]Google Scholar
20Hol, MK, Nelissen, RC, Agterberg, MJ, Cremers, CW, Snik, AF.Comparison between a new implantable transcutaneous bone conductor and percutaneous bone-conduction hearing implant. Otol Neurotol 2013;34:1071–5CrossRefGoogle ScholarPubMed
21Cochlear Baha 4 Systems. Candidate Selection Guide. In: http://www.cochlear.com/wps/wcm/connect/468f716c-8401-4552-9d0d-bada89ddf814/BUN070+ISS2+FEB14+Baha+System+Candidate+Selection+Guide.pdf?MOD=AJPERES&CONVERT_TO=url&CACHEID=468f716c-8401-4552-9d0d-bada89ddf814 [13 July 2015]Google Scholar
22Håkansson, B, Eeg-Olofsson, M, Reinfeldt, S, Stenfelt, S, Granström, G.Percutaneous versus transcutaneous bone conduction implant system: a feasibility study on a cadaver head. Otol Neurotol 2008;29:1132–9CrossRefGoogle ScholarPubMed
23Huber, AM, Sim, JH, Xie, YZ, Chatzimichalis, M, Ullrich, O, Röösli, C.The Bonebridge: preclinical evaluation of a new transcutaneously-activated bone anchored hearing device. Hear Res 2013;301:93–9CrossRefGoogle ScholarPubMed
24Hassepass, F, Bulla, S, Aschendorff, A, Maier, W.The bonebridge as a transcutaneous bone conduction hearing system: preliminary surgical and audiological results in children and adolescents. Eur Arch Otorhinolaryngol 2014. Epub 2014 Jun 27Google ScholarPubMed
25Bonato, P.Advances in wearable technology and applications in physical medicine and rehabilitation. J Neuroeng Rehabil 2005;2:2CrossRefGoogle Scholar
26Gurgel, RK, Shelton, C.The SoundBite hearing system: patient-assessed safety and benefit study. Laryngoscope 2013;123:2807–12CrossRefGoogle ScholarPubMed
27Kompis, M, Caversaccio, M, eds. Implantable bone conduction hearing aids. Adv Otorhinolaryngol 2011;71:22–31Google Scholar