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

Abstract

Background

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.

Methods

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.

Conclusion

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.

Ethical approval

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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Keywords

  • Bone conduction hearing
  • Auditory prosthesis
  • Endoscopic surgical procedure