The middle fossa approach with self-drilling screws: a novel technique for BONEBRIDGE implantation
Abstract Background Bone conduction implants can be used in the treatment of conductive or mixed hearing loss. The BONEBRIDGE bone conduction implant (BB-BCI) is an active, transcutaneous device. BB-BCI implantation can be performed through either the transmastoid or retrosigmoid approach with their...
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| Format: | Article |
| Language: | English |
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BMC
2019-07-01
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| Series: | Journal of Otolaryngology - Head and Neck Surgery |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40463-019-0354-7 |
| _version_ | 1797967124565590016 |
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| author | Peng You Lauren H. Siegel Zahra Kassam Matthew Hebb Lorne Parnes Hanif M. Ladak Sumit Kishore Agrawal |
| author_facet | Peng You Lauren H. Siegel Zahra Kassam Matthew Hebb Lorne Parnes Hanif M. Ladak Sumit Kishore Agrawal |
| author_sort | Peng You |
| collection | DOAJ |
| description | Abstract Background Bone conduction implants can be used in the treatment of conductive or mixed hearing loss. The BONEBRIDGE bone conduction implant (BB-BCI) is an active, transcutaneous device. BB-BCI implantation can be performed through either the transmastoid or retrosigmoid approach with their respective limitations. Here, we present a third, novel approach for BB-BCI implantation. Objective Describe the detailed surgical technique of BB-BCI implantation through a middle fossa approach with self-drilling screws and present preliminary audiometric outcome data following this approach. Methods A single institution, retrospective chart review was completed for patients implanted with the BB-BCI via the middle fossa approach. Preoperative planning and modelling were performed using 3D Slicer. Audiological testing was performed pre- and post-operatively following standard audiometric techniques. Results Forty patients underwent BB-BCI implantation using the middle fossa approach. Modelling techniques allowed for implantation through the use of external landmarks, obviating the need for intraoperative image guidance. The surgical technique was refined over time through experience and adaptation. Mean follow-up was 29 months (range 3–71 months) with no surgical complications, favourable cosmesis, and expected audiometric outcomes. An average functional gain of 39.6 dB (± 14.7 SD) was found. Conclusion The middle fossa technique with self-drilling screws is a safe and effective option for BONEBRIDGE implantation. As a reference for other groups considering this approach, an annotated video has been included as a supplement to the study. |
| first_indexed | 2024-04-11T02:26:15Z |
| format | Article |
| id | doaj.art-c59b58b1c31e484e9fcf12a79d246dea |
| institution | Directory Open Access Journal |
| issn | 1916-0216 |
| language | English |
| last_indexed | 2024-04-11T02:26:15Z |
| publishDate | 2019-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Otolaryngology - Head and Neck Surgery |
| spelling | doaj.art-c59b58b1c31e484e9fcf12a79d246dea2023-01-02T22:46:12ZengBMCJournal of Otolaryngology - Head and Neck Surgery1916-02162019-07-0148111010.1186/s40463-019-0354-7The middle fossa approach with self-drilling screws: a novel technique for BONEBRIDGE implantationPeng You0Lauren H. Siegel1Zahra Kassam2Matthew Hebb3Lorne Parnes4Hanif M. Ladak5Sumit Kishore Agrawal6Department of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine & Dentistry, Western UniversityDepartment of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine & Dentistry, Western UniversityDepartment of Medical Imaging, Schulich School of Medicine & Dentistry, Western UniversityDepartment of Clinical Neurological Sciences, Schulich School of Medicine & Dentistry, Western UniversityDepartment of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine & Dentistry, Western UniversityDepartment of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine & Dentistry, Western UniversityDepartment of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine & Dentistry, Western UniversityAbstract Background Bone conduction implants can be used in the treatment of conductive or mixed hearing loss. The BONEBRIDGE bone conduction implant (BB-BCI) is an active, transcutaneous device. BB-BCI implantation can be performed through either the transmastoid or retrosigmoid approach with their respective limitations. Here, we present a third, novel approach for BB-BCI implantation. Objective Describe the detailed surgical technique of BB-BCI implantation through a middle fossa approach with self-drilling screws and present preliminary audiometric outcome data following this approach. Methods A single institution, retrospective chart review was completed for patients implanted with the BB-BCI via the middle fossa approach. Preoperative planning and modelling were performed using 3D Slicer. Audiological testing was performed pre- and post-operatively following standard audiometric techniques. Results Forty patients underwent BB-BCI implantation using the middle fossa approach. Modelling techniques allowed for implantation through the use of external landmarks, obviating the need for intraoperative image guidance. The surgical technique was refined over time through experience and adaptation. Mean follow-up was 29 months (range 3–71 months) with no surgical complications, favourable cosmesis, and expected audiometric outcomes. An average functional gain of 39.6 dB (± 14.7 SD) was found. Conclusion The middle fossa technique with self-drilling screws is a safe and effective option for BONEBRIDGE implantation. As a reference for other groups considering this approach, an annotated video has been included as a supplement to the study.http://link.springer.com/article/10.1186/s40463-019-0354-7Bone conduction implantBONEBRIDGEMiddle fossa approachConductive hearing lossSurgical techniqueImplants |
| spellingShingle | Peng You Lauren H. Siegel Zahra Kassam Matthew Hebb Lorne Parnes Hanif M. Ladak Sumit Kishore Agrawal The middle fossa approach with self-drilling screws: a novel technique for BONEBRIDGE implantation Journal of Otolaryngology - Head and Neck Surgery Bone conduction implant BONEBRIDGE Middle fossa approach Conductive hearing loss Surgical technique Implants |
| title | The middle fossa approach with self-drilling screws: a novel technique for BONEBRIDGE implantation |
| title_full | The middle fossa approach with self-drilling screws: a novel technique for BONEBRIDGE implantation |
| title_fullStr | The middle fossa approach with self-drilling screws: a novel technique for BONEBRIDGE implantation |
| title_full_unstemmed | The middle fossa approach with self-drilling screws: a novel technique for BONEBRIDGE implantation |
| title_short | The middle fossa approach with self-drilling screws: a novel technique for BONEBRIDGE implantation |
| title_sort | middle fossa approach with self drilling screws a novel technique for bonebridge implantation |
| topic | Bone conduction implant BONEBRIDGE Middle fossa approach Conductive hearing loss Surgical technique Implants |
| url | http://link.springer.com/article/10.1186/s40463-019-0354-7 |
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