Bone-anchored hearing aids: Incidence and management of postoperative complications
Bone-anchored hearing aids: Incidence and management of postoperative complications
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DOI：
10.1097/mao.0b013e31802c74c4
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发表时间：
2007-02-01
影响因子：
2.1
通讯作者：
Kutz, Joe Walter, Jr.
中科院分区：
文献类型：
--
作者：
House, John W.;Kutz, Joe Walter, Jr.
目的：确定与植入骨锚式助听器（BAHA）相关的并发症的发生率以及这些并发症的处理。研究设计：回顾性病例分析。设置：三级转诊中心。患者：2001年10月25日至2005年6月29日期间，149例连续患者接受了BAHA植入术。大多数患者在切除听神经瘤或颅底肿瘤后有单侧深度感音神经性听力损失（59.1%）其次最常见的病因是继发于突发性感音神经性听力损失的耳聋（16.1%）。干预：BAHA植入。主要结局指标：BAHA植入后并发症的发生率。结果：无术中或围手术期并发症。19例（12.8%）患者发生了需要干预的严重术后并发症。11例（7.4%）患者发生基台皮肤过度生长，其中10例患者需要在手术室进行翻修。皮肤过度生长是一种晚期并发症，平均发生在初次手术后12个月。5例（3.4%）患者发生植入物挤出，其中3例需要翻修手术。2例患者选择不重新植入器械。2例患者出现局部伤口感染，需要口服抗生素。结论：BAHA植入后，严重并发症并不常见;然而，这些并发症可能需要局部伤口护理、抗生素或翻修手术。
Objectives: To determine the incidence of complications associated with implantation of the bone-anchored hearing aid (BAHA) and the management of these complications.Study Design: Retrospective case review.Setting: Tertiary referral center.Patients: One hundred forty-nine consecutive patients between October25,2001, and June 29,2005, underwent implantation of a BAHA. The majority of patients had unilateral profound sensorineural hearing loss after removal of an acoustic neuroma or skull base tumor (59.1%) with the next most common etiology of deafness secondary to sudden sensorineural hearing loss ( 16.1%).Intervention(s): Implantation of a BAHA.Main Outcome Measure(s): Incidence of complications occurring after implantation of a BAHA.Results: There were no intraoperative or perioperative complications. Significant postoperative complications requiring intervention occurred in 19 (12.8%) patients. Skin overgrowing the abutment occurred in 11 (7.4%) patients, and 10 of these patients required revision in the operating room. Skin overgrowth was a late complication, occurring an average of 12 months after the initial procedure. Implant extrusion occurred in 5 (3.4%) patients, with 3 requiring revision surgery. Two patients elected not to have the device reimplanted. Two patients had local wound infections requiring oral antibiotics.Conclusion: Significant complications are uncommon after implantation of a BAHA; however, these complications may require local wound care, antibiotics, or revision surgery.