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Has the use of the linear incision reduced skin complications in bone-anchored hearing aid implantation?

Published online by Cambridge University Press:  10 May 2016

R Roplekar ,
A Lim  and
S S M Hussain
R Roplekar
Affiliation:
Department of Otolaryngology, University of Dundee School of Medicine, Ninewells Hospital, Dundee, Scotland, UK
A Lim
Affiliation:
Department of Otolaryngology, University of Dundee School of Medicine, Ninewells Hospital, Dundee, Scotland, UK
S S M Hussain*
Affiliation:
Department of Otolaryngology, University of Dundee School of Medicine, Ninewells Hospital, Dundee, Scotland, UK
*
Address for correspondence: Prof S S M Hussain, Department of Otolaryngology, University of Dundee School of Medicine, Ninewells Hospital, Dundee DD1 9SY, Scotland, UK E-mail: musheer.hussain@nhs.net
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Abstract

Objective:

To compare the skin-related complications of the traditional skin flap method with a linear incision method of implantation.

Method:

All cases of bone-anchored hearing aid surgery performed by a single surgeon (n = 117) were compared over two periods: 1999–2011, when the traditional method of skin flap and soft tissue removal was used (group 1; n = 86), and 2012–2013, when linear incision without soft tissue removal was used (group 2; n = 31). All patients were followed up for one year and complications were recorded for that period.

Results:

There were 21 (24.4 per cent) skin-related complications in group 1 (skin overgrowth = 12, wound infection = 8 and numbness = 1) and 3 (9.7 per cent) complications in group 2 (wound infection = 3). Analysis using independent t-tests showed the results to be significant (p < 0.05; 95 per cent confidence interval = 0.0800–0.4473).

Conclusion:

The linear incision without soft tissue removal method for bone-anchored hearing aid implantation reduces skin complication rates.

Keywords

Hearing AidsComplicationsWound HealingWound InfectionOsseointegration
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 6 , June 2016 , pp. 541 - 544
Copyright
Copyright © JLO (1984) Limited 2016 

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References

1 Brånemark, PI, Hansson, BO, Adell, R, Breine, U, Lindström, J, Hallén, O et al. Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period. Scand J Plast Reconstr Surg Suppl 1997;16:1–132 Google Scholar
2 Proops, DW. The Birmingham bone anchored hearing aid programme: surgical methods and complications. J Laryngol Otol Suppl 1996;21:7–12 CrossRefGoogle ScholarPubMed
3 Tjellström, A. Osseointegrated systems and their applications in the head and neck. Adv Otolaryngol Head Neck Surg 1989;3:39–70 Google Scholar
4 Holgers, KM, Roupe, G, Tjellström, A, Bjursten, LM. Clinical, immunological and bacteriological evaluation of adverse reactions to skin-penetrating titanium implants in the head and neck region. Contact Dermatitis 1992;27:1–7 CrossRefGoogle ScholarPubMed
5 Cochlear™ Press Release: Shorter surgery times and soft tissue preservation with new DermaLock™ technology. In: http://www.cochlear.com/wps/wcm/connect/f9e5cf29-3b5d-49c2-b922-a169c0039906/en_corporate_mediacentre_11April2013_baha_newdermalocktechnology_77kb.pdf?MOD=AJPERES&CONVERT_TO=url&CACHEID=f9e5cf29-3b5d-49c2-b922-a169c0039906 [14 March 2016]Google Scholar