연조직 제거 없이 단순수직절개를 통한 Bone Anchored Hearing Aid 시술

신중욱; 박홍준; 이승철; 박한규; 이호기

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자료유형: 학술저널

저자정보: 신중욱 박홍준 이승철 박한규 이호기

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제55권 제3호

발행연도: 2012.1

수록면: 151 - 154 (4page)

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연구방법

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연구결과

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Background and Objectives After the bone anchored hearing aid (BAHA) surgery, soft tissue problems have frequently been reported. To solve this problem, a surgical procedure that routinely involves so-called skin thinning using BAHA dermatome has been utilized. But, this procedure includes many peri-implant complications and cosmetic trouble. Recently, a single vertical incision technique that does not involve skin thinning has been reported with favorable results. In this study, we evaluated the benefits of performing this procedure without skin thinning compared with the dermatome technique. Subjects and Method We evaluated 10 patients who were operated on without skin thinning using longer (8.5 mm) abutments (the test group) and 5 patients with the routine skin thinning and 5.5-mm abutments (the control group). A mean follow-up time was 11.3 months, the mean age was 34.2 years in the test group, the mean follow-up time was 54.5 months and a mean age is 24.5 years in the control group. Results The mean time required for surgery was 25 minutes and 55 minutes for the test and control groups, respectively. The wound healing time was 28 days and 56 days for the test and control groups, respectively. Fixture extrusion, skin infection and skin overgrowth were not observed in the test group but fixture extrusion case, two skin infection cases and two skin overgrowth cases were observed in the control group. Two cases of abutment loosening were observed in the test group. Conclusion The single vertical incision technique without skin thinning has many benefits when compared with the BAHA dermatome. With this technique, infection and skin overgrowth could be reduced, and a more rapid procedure and a more short healing time could also be possible. Moreover, the aesthetic outcome was far better when no skin thinning was involved.

#Hearing aid #Postoperative complication #Osseointegration #Bone conduction hearing #Surgery

참고문헌 (20)

참고문헌 신청

Drinias V / 2007 / High age at the time of implant installation is correlated with increased loss of osseointegrated implants in the temporal bone / Clin Implant Dent Relat

Ghossaini SN / 2009 / Local steroid injections in the management of skin growth over the abutment in Baha patients / Otolaryngol Head Neck Surg 141 (4) : 530 ~ 532

House JW / 2007 / Bone-anchored hearing aids: incidence and management of postoperative complications / Otol Neurotol 28 (2) : 213 ~ 217

Hultcrantz M / 2011 / Outcome of the bone-anchored hearing aid procedure without skin thinning: a prospective clinical trial / Otol Neurotol 32 (7) : 1134 ~ 1139

Lloyd S / 2007 / Updated surgical experience with bone-anchored hearing aids in children / J Laryngol Otol 121 (9) : 826 ~ 831