Endoscopic-assisted pediatric transcutaneous bone-anchored hearing implant: how I do it



Conventional technique for transcutaneous bone-anchored hearing implants surgery requires the elevation of a large retroauricular skin flap to expose the site of implantation, that may cause a large scar and the interruption of retroauricular vasculature.


A less invasive, endoscopic-assisted modification of the surgical technique is described, which provides access to the implant site through two small skin incisions and the creation of a pocket in the retroauricular area.


Endoscopic-assisted bone-anchored hearing implant surgery could be a viable option for transcutaneous bone-anchored hearing implant surgery, especially for pediatric patients.

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Correspondence to Enrico Muzzi.

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The authors declare no conflicts of interest to disclose.

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Specific informed consent was obtained for the surgical procedure and for the publication of clinical images for scientific purposes.

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The study was performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments.

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Muzzi, E., Marchi, R. & Orzan, E. Endoscopic-assisted pediatric transcutaneous bone-anchored hearing implant: how I do it. Eur Arch Otorhinolaryngol (2021). https://doi.org/10.1007/s00405-021-06690-z

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  • Bone conduction hearing
  • Auditory prosthesis
  • Endoscopic surgical procedure