Osseointegrated titanium implants in the temporal bone. A clinical study on bone-anchored hearing aids.
Osseointegrated titanium implants in the temporal bone. A clinical study on bone-anchored hearing aids.
复制标题
颞骨中的骨整合钛植入物。
DOI：
--
复制
发表时间：
1981
期刊：
影响因子：
--
通讯作者：
P. Branemark
中科院分区：
文献类型：
--
作者：
A. Tjellström;J. Lindström;O. Hallén;T. Albrektsson;P. Branemark
本研究的目的是调查连接新型直接骨传导助听器的可能性。使用温和的手术技术，将钛螺钉插入 14 名患有听力障碍的患者的颞骨中。植入物与活骨组织融为一体，并在目前的两到四年的随访期内保持这种状态。因此得出的结论是，钛植入物可以以与之前描述的长骨类似的方式骨整合到颞骨中。骨锚定钛螺钉连接到永久穿透皮肤的基台，该基台又用于连接助听器。通过这种方式，可以确保直接骨传导而不阻碍软组织层。永久性皮肤渗透不会对软组织造成不良影响。新系统将纯音听阈提高了约15 dB。进一步的研究旨在构建一种新的助听器，更好地适应直接骨锚式情况下存在的阻抗情况。
The purpose of this study is to investigate the possibilities for attaching a new type of direct bone conduction hearing aid. Using a gentle surgical technique, titanium screws were inserted into the temporal bone of fourteen patients suffering from hearing impairment. The implants became integrated with the living bone tissue and have remained so for a follow-up period of, at present, two to four years. It is therefore concluded that titanium implants may be osseointegrated in the temporal bone in a similar manner to that previously described for long bones. The bone-anchored titanium screws were connected to a permanently skin-penetrating abutment, which in turn was used for attachment to a hearing aid. In this way a direct bone conduction without obstructing soft tissue layers is secured. The permanent skin penetration caused no adverse soft tissue effects. The new system has improved pure-tone hearing threshold by about 15 dB. Further research is aimed at the construction of a new hearing aid that is better adapted to the impedance situation existing in the directly bone-anchored cases.