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

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 patie...

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Main Authors: Merve Torun Topcu, Basak Mutlu, Serdal Celik, Bahtiyar Celikgun, Ahmet Mutlu, M. Tayyar Kalcioglu
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda. 2022-10-01
Series:International Archives of Otorhinolaryngology
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1742765
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author Merve Torun Topcu
Basak Mutlu
Serdal Celik
Bahtiyar Celikgun
Ahmet Mutlu
M. Tayyar Kalcioglu
author_facet Merve Torun Topcu
Basak Mutlu
Serdal Celik
Bahtiyar Celikgun
Ahmet Mutlu
M. Tayyar Kalcioglu
author_sort Merve Torun Topcu
collection DOAJ
description 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.
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spelling doaj.art-08d9ef9764e94a838b2df549daabb37e2022-12-22T04:35:26ZengThieme Revinter Publicações Ltda.International Archives of Otorhinolaryngology1809-97771809-48642022-10-012604e649e65610.1055/s-0042-1742765Bone-Anchored Hearing Implants: Surgical and Audiological Comparison of Different Surgical TechniquesMerve Torun Topcu0Basak Mutlu1Serdal Celik2Bahtiyar Celikgun3Ahmet Mutlu4M. Tayyar Kalcioglu5Department of Audiology, Istanbul Medeniyet University, School of Health Sciences, Istanbul, TurkeyDepartment of Audiology, Istanbul Medeniyet University, School of Health Sciences, Istanbul, TurkeyDepartment of Otorhinolaryngology, Istanbul Medeniyet University School of Medicine, Goztepe Training and Research Hospital, Istanbul, TurkeyMarmara University, Health Sciences Institutes, Audiology Program, Istanbul, TurkeyDepartment of Otorhinolaryngology, Istanbul Medeniyet University School of Medicine, Goztepe Training and Research Hospital, Istanbul, TurkeyDepartment of Otorhinolaryngology, Istanbul Medeniyet University School of Medicine, Goztepe Training and Research Hospital, Istanbul, TurkeyIntroduction 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.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1742765bone-anchored implantsquality of lifehearing testspunch techniquelinear incision technique
spellingShingle Merve Torun Topcu
Basak Mutlu
Serdal Celik
Bahtiyar Celikgun
Ahmet Mutlu
M. Tayyar Kalcioglu
Bone-Anchored Hearing Implants: Surgical and Audiological Comparison of Different Surgical Techniques
International Archives of Otorhinolaryngology
bone-anchored implants
quality of life
hearing tests
punch technique
linear incision technique
title Bone-Anchored Hearing Implants: Surgical and Audiological Comparison of Different Surgical Techniques
title_full Bone-Anchored Hearing Implants: Surgical and Audiological Comparison of Different Surgical Techniques
title_fullStr Bone-Anchored Hearing Implants: Surgical and Audiological Comparison of Different Surgical Techniques
title_full_unstemmed Bone-Anchored Hearing Implants: Surgical and Audiological Comparison of Different Surgical Techniques
title_short Bone-Anchored Hearing Implants: Surgical and Audiological Comparison of Different Surgical Techniques
title_sort bone anchored hearing implants surgical and audiological comparison of different surgical techniques
topic bone-anchored implants
quality of life
hearing tests
punch technique
linear incision technique
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1742765
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AT serdalcelik boneanchoredhearingimplantssurgicalandaudiologicalcomparisonofdifferentsurgicaltechniques
AT bahtiyarcelikgun boneanchoredhearingimplantssurgicalandaudiologicalcomparisonofdifferentsurgicaltechniques
AT ahmetmutlu boneanchoredhearingimplantssurgicalandaudiologicalcomparisonofdifferentsurgicaltechniques
AT mtayyarkalcioglu boneanchoredhearingimplantssurgicalandaudiologicalcomparisonofdifferentsurgicaltechniques