Hostname: page-component-78c5997874-lj6df Total loading time: 0 Render date: 2024-11-11T10:31:03.306Z Has data issue: false hasContentIssue false
  • English
  • Français

Bone-anchored hearing aids and chronic pain: a long-term complication and a cause for elective implant removal

Published online by Cambridge University Press:  03 April 2012

D Siau ,
H Nik ,
J C Hobson ,
A J Roper ,
M P Rothera  and
K M J Green
D Siau*
Affiliation:
Department of Otolaryngology, University Hospital of South Manchester, UK
H Nik
Affiliation:
Department of Otolaryngology, Salford Royal University Teaching Hospital, Salford, UK
J C Hobson
Affiliation:
Department of Otolaryngology, Salford Royal University Teaching Hospital, Salford, UK
A J Roper
Affiliation:
Department of Otolaryngology, Salford Royal University Teaching Hospital, Salford, UK
M P Rothera
Affiliation:
Department of Otolaryngology, Salford Royal University Teaching Hospital, Salford, UK
K M J Green
Affiliation:
Department of Otolaryngology, Salford Royal University Teaching Hospital, Salford, UK Department of Otolaryngology, Manchester Royal Infirmary, UK
*
Address for correspondence: Mr Derrick Siau, 31 Merchant Quay, Salford M50 3XF, UK Fax: +44 (0)161 291 5332 E-mail: bdsiau@gmail.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives:

To report a case series of elective removal of bone-anchored hearing aid implants, and reasons for removal.

Design:

Retrospective review of a prospectively collected database.

Setting:

Two tertiary referral centres in the Manchester area: Manchester Royal Infirmary and Salford Royal University Hospital.

Participants:

A series of 499 adults and children who had undergone a total of 602 implant insertions (1984–2008).

Main outcome measures:

Implant removal rates, and reasons.

Results:

Twenty-seven of the 602 implants (4.5 per cent) required removal. Of these, 12 were due to pain (2.0 per cent), seven to persistent infection (1.2 per cent), three to failure of osseointegration (0.5 per cent), three to trauma (0.5 per cent) and two to other reasons (0.4 per cent).

Conclusion:

Chronic implant site pain represents the main reason why implants are removed electively, and affects 2 per cent of all implants. This complication has important medico-legal implications and should be discussed when obtaining informed consent for implantation.

Keywords

AdultChildHearing AidsHearing LossPostoperative ComplicationsProstheses And ImplantsRetrospective StudyPain, IntractableSurgical Wound Infection
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 5 , May 2012 , pp. 445 - 449
Copyright
Copyright © JLO (1984) Limited 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Snik, 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
2Tjellstrom, A, Hakansson, B, Granstrom, G. Bone-anchored hearing aids: current status in adults and children. Otolaryngol Clin North Am 2001;34:337–64CrossRefGoogle ScholarPubMed
3Tjellstrom, A, Ganstrom, 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
4Wazen, JJ, Spitzer, JB, Ghossaini, SN, Fayad, JN, Niparko, JK, Cox, K et al. Transcranial contralateral cochlear stimulation in unilateral deafness. Otol Head Neck Surg 2003;129:248–54CrossRefGoogle ScholarPubMed
5Hol, MK, Bosman, AJ, Snik, AF, Mylanus, EA, Cremer, CW. Bone-anchored hearing aids in unilateral inner ear deafness: an evaluation of audiometric and patient outcome measurements. Otol Neurotol 2005;26:999–1006CrossRefGoogle ScholarPubMed
6Tjellstrom, A. Osseointegrated systems and their applications in the head and neck. Adv Otolaryngol Head Neck Surg 1989;3:39–70Google Scholar
7Proops, DW. The Birmingham bone anchored hearing aid programme: surgical methods and complications. J Laryngol Otol 1996;110(suppl 21):7–12CrossRefGoogle Scholar
8Tjellstrom, A, Ganstrom, G. A single stage technique for the BAHA. In: Selva Val Gardena Biomaterial Club. Book of Abstracts, 3rd International Winter Seminar on Implants in Craniofacial Rehabilitation and Audiology. Gotebora, Sweden: University of Gotebora, 1993;45Google Scholar
9Tjellstrom, A, Granstrom, G. One-stage procedure to establish osseointegration: a zero to five years follow-up report. J Laryngol Otol 1995;109:593–8CrossRefGoogle ScholarPubMed
10Kohan, 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
11Cochlear Bone Anchored Solutions AB. Surgery Guide, BAHA® BI300 Implant System, a Bone Conduction Hearing Solution. Gotebora, Mölnlycke, Sweden: Cochlear Bone Anchored Solutions AB, 2010;13–21Google Scholar
12Hobson, 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
13Wazen, 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
14Gillet, 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
15House, JW, Kutz, JW. Bone-anchored hearing aids: incidence and management of postoperative complications. Otol Neurotol 2007;28:213–17CrossRefGoogle ScholarPubMed
16McDermott, 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
17Badran, K, Arya, AK, Bunstone, D, Mackinnon, N. Long-term complications of bone-anchored hearing aids: a 14-year experience. J Laryngol Otol 2009;123:170–6CrossRefGoogle Scholar
18Mylanus, EA, Johansson, CB, Cremers, CW. Craniofacial titanium implants and chronic pain: histologic findings. Otol Neurotol 2002;23:920–5CrossRefGoogle ScholarPubMed
19Tjellstrom, A, Jacobsson, M, Albrektsson, T. Removal torque of osseointegrated craniofacial implants: a clinical study. Int J Oral Maxillofac Implants 1988;3:287–9Google ScholarPubMed
20Mlynski, R, Goldberg, E, Ebmeyer, J, Scheich, M, Gattalohner, S, Schwager, K et al. Histologic and morphologic evaluation of explanted bone anchors from bone-anchored hearing aids. Eur Arch Otorhinolaryngol 2009;266:745–52CrossRefGoogle ScholarPubMed
21Granstrom, G. Measurement of bone metal contact (BMC) in retrieved osseointegrated implants. Acta Otolaryngol Suppl 2000;543:114–17CrossRefGoogle ScholarPubMed