The Minimally Invasive Star-Shaped Incision Technique and the Linear Incision Technique With Tissue Preservation for Percutaneous Bone Conduction Devices: A Retrospective Cohort Study
PurposeTo compare intra- and postoperative outcomes between the standard linear incision technique with tissue preservation (LITT-P) and the minimally invasive star-shaped incision (SSI).Study DesignA retrospective cohort study.MethodsPrimary outcomes evaluated operative time, implant survival, and...
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| Format: | Article |
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Frontiers Media S.A.
2022-03-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.863997/full |
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| author | Ruben M. Strijbos Ruben M. Strijbos Samer Salameh Aren Bezdjian Aren Bezdjian Sam J. Daniel Sam J. Daniel Hans GXM. Thomeer Hans GXM. Thomeer |
| author_facet | Ruben M. Strijbos Ruben M. Strijbos Samer Salameh Aren Bezdjian Aren Bezdjian Sam J. Daniel Sam J. Daniel Hans GXM. Thomeer Hans GXM. Thomeer |
| author_sort | Ruben M. Strijbos |
| collection | DOAJ |
| description | PurposeTo compare intra- and postoperative outcomes between the standard linear incision technique with tissue preservation (LITT-P) and the minimally invasive star-shaped incision (SSI).Study DesignA retrospective cohort study.MethodsPrimary outcomes evaluated operative time, implant survival, and intra-operative complications. A secondary outcome evaluated soft tissue tolerability assessed by the Holger's classification.ResultsA total of 38 implants were placed (19 LITT-P; 19 SSI). The median and mean surgical duration for the LITT-P group was statistically shorter than the SSI group (p = 0.0001). No intra-operative complications were reported for both surgical approaches. Five implants were lost during postoperative follow-up: one in the LITT-P and four in the SSI cohort. Both cohorts showed favorable soft tissue tolerability. Less Holgers 1 and 2 and more Holgers 3 soft tissue reactions were observed after the LITT-P compared to the SSI.ConclusionThe novel SSI approach could be an alternative option based on the theoretical benefits and found favorable (and similar) soft tissue outcomes. Implant loss and surgical time are aspects to investigate regarding long-term durability and warrant further research. |
| first_indexed | 2024-04-13T04:16:02Z |
| format | Article |
| id | doaj.art-fae7b5bcbeba4cd9a73f9af31b1f579e |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-13T04:16:02Z |
| publishDate | 2022-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-fae7b5bcbeba4cd9a73f9af31b1f579e2022-12-22T03:02:59ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-03-01910.3389/fsurg.2022.863997863997The Minimally Invasive Star-Shaped Incision Technique and the Linear Incision Technique With Tissue Preservation for Percutaneous Bone Conduction Devices: A Retrospective Cohort StudyRuben M. Strijbos0Ruben M. Strijbos1Samer Salameh2Aren Bezdjian3Aren Bezdjian4Sam J. Daniel5Sam J. Daniel6Hans GXM. Thomeer7Hans GXM. Thomeer8Department of Otorhinolaryngology and Head and Neck Surgery, University Medical Center Utrecht, Utrecht, NetherlandsBrain Center UMC Utrecht, Utrecht, NetherlandsFaculty of Medicine and Health Sciences, McGill University, Montreal, QC, CanadaFaculty of Medicine and Health Sciences, McGill University, Montreal, QC, CanadaDepartments of Experimental Surgery and Pediatric Surgery, Faculty of Medicine, McGill University, Montreal, QC, CanadaFaculty of Medicine and Health Sciences, McGill University, Montreal, QC, CanadaDepartment of Otolaryngology–Head, Neck Surgery, and Pediatric Surgery, Faculty of Medicine, McGill University, The Montreal Children's Hospital, Montreal, QC, CanadaDepartment of Otorhinolaryngology and Head and Neck Surgery, University Medical Center Utrecht, Utrecht, NetherlandsBrain Center UMC Utrecht, Utrecht, NetherlandsPurposeTo compare intra- and postoperative outcomes between the standard linear incision technique with tissue preservation (LITT-P) and the minimally invasive star-shaped incision (SSI).Study DesignA retrospective cohort study.MethodsPrimary outcomes evaluated operative time, implant survival, and intra-operative complications. A secondary outcome evaluated soft tissue tolerability assessed by the Holger's classification.ResultsA total of 38 implants were placed (19 LITT-P; 19 SSI). The median and mean surgical duration for the LITT-P group was statistically shorter than the SSI group (p = 0.0001). No intra-operative complications were reported for both surgical approaches. Five implants were lost during postoperative follow-up: one in the LITT-P and four in the SSI cohort. Both cohorts showed favorable soft tissue tolerability. Less Holgers 1 and 2 and more Holgers 3 soft tissue reactions were observed after the LITT-P compared to the SSI.ConclusionThe novel SSI approach could be an alternative option based on the theoretical benefits and found favorable (and similar) soft tissue outcomes. Implant loss and surgical time are aspects to investigate regarding long-term durability and warrant further research.https://www.frontiersin.org/articles/10.3389/fsurg.2022.863997/fullbone anchored hearing implantBAHAbone conductionstar-shaped incisionlinear incision |
| spellingShingle | Ruben M. Strijbos Ruben M. Strijbos Samer Salameh Aren Bezdjian Aren Bezdjian Sam J. Daniel Sam J. Daniel Hans GXM. Thomeer Hans GXM. Thomeer The Minimally Invasive Star-Shaped Incision Technique and the Linear Incision Technique With Tissue Preservation for Percutaneous Bone Conduction Devices: A Retrospective Cohort Study Frontiers in Surgery bone anchored hearing implant BAHA bone conduction star-shaped incision linear incision |
| title | The Minimally Invasive Star-Shaped Incision Technique and the Linear Incision Technique With Tissue Preservation for Percutaneous Bone Conduction Devices: A Retrospective Cohort Study |
| title_full | The Minimally Invasive Star-Shaped Incision Technique and the Linear Incision Technique With Tissue Preservation for Percutaneous Bone Conduction Devices: A Retrospective Cohort Study |
| title_fullStr | The Minimally Invasive Star-Shaped Incision Technique and the Linear Incision Technique With Tissue Preservation for Percutaneous Bone Conduction Devices: A Retrospective Cohort Study |
| title_full_unstemmed | The Minimally Invasive Star-Shaped Incision Technique and the Linear Incision Technique With Tissue Preservation for Percutaneous Bone Conduction Devices: A Retrospective Cohort Study |
| title_short | The Minimally Invasive Star-Shaped Incision Technique and the Linear Incision Technique With Tissue Preservation for Percutaneous Bone Conduction Devices: A Retrospective Cohort Study |
| title_sort | minimally invasive star shaped incision technique and the linear incision technique with tissue preservation for percutaneous bone conduction devices a retrospective cohort study |
| topic | bone anchored hearing implant BAHA bone conduction star-shaped incision linear incision |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.863997/full |
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