Minimally invasive surgery as a new clinical standard for bone anchored hearing implants—real-world data from 10 years of follow-up and 228 surgeries

PurposeTo explore the clinical practice development of different surgical techniques when installing bone-anchored hearing implants and their associated trends in outcomes.DesignRetrospective study of 228 bone-anchored hearing implants in 200 patients, performed over a 10-year period between 2012 an...

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Main Authors: Leonardo Di Santana Cruz, Fabiana Danieli, Maria Åberg Håkansson, Martin Lars Johansson, Francine Raquel dos Santos, Ana Claudia Mirândola Barbosa Reis, Miguel Angelo Hyppolito
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-07-01
Series:Frontiers in Surgery
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fsurg.2023.1209927/full
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author Leonardo Di Santana Cruz
Fabiana Danieli
Fabiana Danieli
Maria Åberg Håkansson
Martin Lars Johansson
Martin Lars Johansson
Francine Raquel dos Santos
Ana Claudia Mirândola Barbosa Reis
Miguel Angelo Hyppolito
author_facet Leonardo Di Santana Cruz
Fabiana Danieli
Fabiana Danieli
Maria Åberg Håkansson
Martin Lars Johansson
Martin Lars Johansson
Francine Raquel dos Santos
Ana Claudia Mirândola Barbosa Reis
Miguel Angelo Hyppolito
author_sort Leonardo Di Santana Cruz
collection DOAJ
description PurposeTo explore the clinical practice development of different surgical techniques when installing bone-anchored hearing implants and their associated trends in outcomes.DesignRetrospective study of 228 bone-anchored hearing implants in 200 patients, performed over a 10-year period between 2012 and 2022 in a referral hospital.MethodReal-world data of demography, etiology, surgical setup, complications, and audiological outcomes were collected. Eligibility criteria from clinical practice were applied.ResultsThe minimally invasive technique is associated with shorter surgery duration, 20 vs. 44 min as compared to a linear incision technique. The minimally invasive technique was also associated with a lower occurrence of complications when compared to linear incision techniques (intraoperative; 1.8% vs. 4.9%, postoperative; 49% vs. 66%). Most differences were seen in complications relating to skin and wound healing.ConclusionAdoption of a minimally invasive surgical technique for the installations of bone-anchored hearing implants can reduce surgical complexity without compromising safety aspects or clinical benefits.
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spelling doaj.art-e3ac719553c042bb9c8d7156fe34fdbf2023-07-03T08:10:55ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2023-07-011010.3389/fsurg.2023.12099271209927Minimally invasive surgery as a new clinical standard for bone anchored hearing implants—real-world data from 10 years of follow-up and 228 surgeriesLeonardo Di Santana Cruz0Fabiana Danieli1Fabiana Danieli2Maria Åberg Håkansson3Martin Lars Johansson4Martin Lars Johansson5Francine Raquel dos Santos6Ana Claudia Mirândola Barbosa Reis7Miguel Angelo Hyppolito8Department of Ophthalmology, Otorhinolaryngology, Head and Neck Surgery, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, BrazilDepartment of Health Sciences, RCS, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, BrazilClinical Department, Oticon Medical, São Paulo, BrazilClinical Department, Oticon Medical, Askim, SwedenDepartment of Biomaterials, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenResearch and Technology Department, Oticon Medical, Askim, SwedenDepartment of Ophthalmology, Otorhinolaryngology, Head and Neck Surgery, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, BrazilDepartment of Health Sciences, RCS, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, BrazilDepartment of Ophthalmology, Otorhinolaryngology, Head and Neck Surgery, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, BrazilPurposeTo explore the clinical practice development of different surgical techniques when installing bone-anchored hearing implants and their associated trends in outcomes.DesignRetrospective study of 228 bone-anchored hearing implants in 200 patients, performed over a 10-year period between 2012 and 2022 in a referral hospital.MethodReal-world data of demography, etiology, surgical setup, complications, and audiological outcomes were collected. Eligibility criteria from clinical practice were applied.ResultsThe minimally invasive technique is associated with shorter surgery duration, 20 vs. 44 min as compared to a linear incision technique. The minimally invasive technique was also associated with a lower occurrence of complications when compared to linear incision techniques (intraoperative; 1.8% vs. 4.9%, postoperative; 49% vs. 66%). Most differences were seen in complications relating to skin and wound healing.ConclusionAdoption of a minimally invasive surgical technique for the installations of bone-anchored hearing implants can reduce surgical complexity without compromising safety aspects or clinical benefits.https://www.frontiersin.org/articles/10.3389/fsurg.2023.1209927/fullbone conduction implantminimally invasive surgeryosseointegrated hearing aidreal-world databone-anchored hearing system (BAHS)ponto
spellingShingle Leonardo Di Santana Cruz
Fabiana Danieli
Fabiana Danieli
Maria Åberg Håkansson
Martin Lars Johansson
Martin Lars Johansson
Francine Raquel dos Santos
Ana Claudia Mirândola Barbosa Reis
Miguel Angelo Hyppolito
Minimally invasive surgery as a new clinical standard for bone anchored hearing implants—real-world data from 10 years of follow-up and 228 surgeries
Frontiers in Surgery
bone conduction implant
minimally invasive surgery
osseointegrated hearing aid
real-world data
bone-anchored hearing system (BAHS)
ponto
title Minimally invasive surgery as a new clinical standard for bone anchored hearing implants—real-world data from 10 years of follow-up and 228 surgeries
title_full Minimally invasive surgery as a new clinical standard for bone anchored hearing implants—real-world data from 10 years of follow-up and 228 surgeries
title_fullStr Minimally invasive surgery as a new clinical standard for bone anchored hearing implants—real-world data from 10 years of follow-up and 228 surgeries
title_full_unstemmed Minimally invasive surgery as a new clinical standard for bone anchored hearing implants—real-world data from 10 years of follow-up and 228 surgeries
title_short Minimally invasive surgery as a new clinical standard for bone anchored hearing implants—real-world data from 10 years of follow-up and 228 surgeries
title_sort minimally invasive surgery as a new clinical standard for bone anchored hearing implants real world data from 10 years of follow up and 228 surgeries
topic bone conduction implant
minimally invasive surgery
osseointegrated hearing aid
real-world data
bone-anchored hearing system (BAHS)
ponto
url https://www.frontiersin.org/articles/10.3389/fsurg.2023.1209927/full
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