PDF icon Download PDF
Open Access
CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2022; 26(04): e649-e656
DOI: 10.1055/s-0042-1742765
Original Research

Bone-Anchored Hearing Implants: Surgical and Audiological Comparison of Different Surgical Techniques

Merve Torun Topcu 
1   Department of Audiology, Istanbul Medeniyet University, School of Health Sciences, Istanbul, Turkey
,
Basak Mutlu 
1   Department of Audiology, Istanbul Medeniyet University, School of Health Sciences, Istanbul, Turkey
,
Serdal Celik 
2   Department of Otorhinolaryngology, Istanbul Medeniyet University School of Medicine, Goztepe Training and Research Hospital, Istanbul, Turkey
,
Bahtiyar Celikgun 
3   Marmara University, Health Sciences Institutes, Audiology Program, Istanbul, Turkey
,
Ahmet Mutlu 
2   Department of Otorhinolaryngology, Istanbul Medeniyet University School of Medicine, Goztepe Training and Research Hospital, Istanbul, Turkey
,
M. Tayyar Kalcioglu 
2   Department of Otorhinolaryngology, Istanbul Medeniyet University School of Medicine, Goztepe Training and Research Hospital, Istanbul, Turkey
› Author Affiliations
› Further Information
Also available ateRefMedOne
  Permissions and Reprints
Preview

Abstract

Introduction The bone-anchored hearing implant system (BAHS) is an effective amplification system that transmits the sounds received by an external operating system to the inner ear by bypassing the middle ear placed in the temporal bone.

Objective This study compares the results of patients who underwent bone-anchored hearing implant system (BAHS) surgery using two different surgical methods in terms of preoperative and postoperative complications, surgical time, audiological findings, and patient satisfaction.

Methods The results of 22 patients who underwent BAHS were evaluated retrospectively from video records and audiological results, The Turkish Version of the Glasgow Benefit Inventory (GBI) questionnaire were evaluated. Two different surgical approaches were used for implantation: the linear incision technique (n = 9) and the punch technique (n = 13).

Results Mean surgical durations were 9.67 ± 2.85 and 47.65 ± 6.13 minutes for Groups A and B, respectively, and these were significantly different (p < 0.001). There were no significant differences between the groups' speech recognition scores for a signal-to-noise ratio (SNR) of +5 (p = 0.173), SNR of 0 (p = 0.315), or SNR of -5 (p = 0.360) and results of the GBI scores.

Conclusion The punch technique has a significant advantage due to a shorter surgery duration without increased surgical complications. Additionally, the punch technique showed no significant difference in hearing performance or satisfaction compared with linear incision.

Keywords

bone-anchored implants - quality of life - hearing tests - punch technique - linear incision technique


Publication History

Received: 27 May 2021

Accepted: 02 December 2021

Article published online:
02 March 2022

© 2022. Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil