A Five-Year Follow-up on the Osseointegration of Bone-Anchored Hearing Device Implantation Without Tissue Reduction

Abstract

This 5-year follow-up study demonstrates that percutaneous osseointegrated implantation without skin thinning is safe and has a better outcome than implantation with skin thinning.

Short‐term results from seventy‐six patients receiving a bone‐anchored hearing implant installed with a novel minimally invasive surgery technique

“…12 Overall, the medium-to-long-term results of tissue preservation surgery are promising with skin reactions at least similar to control groups, and benefits including less numbness and more cosmetically pleasing outcomes being commonly reported. 1,3,9,10 This multicentre evaluation reported here demonstrates, short-term, similar positive outcomes for MIPS.…”

“…1,3,8 Due to instrumentation and pre-defined steps, MIPS requires short surgical time, and naturally lends itself to be performed under local anaesthesia. This technique is conducive to fast healing due to minimal soft tissue trauma.…”

“…1,4 In the MIPS technique, the drilling procedure is performed through a cannula and the implant installation is completed through the incision created by a 5-mm biopsy punch.…”

“…[1][2][3] Some surgeons are also performing the surgery and installation, using the classical drilling system, through a single punch entry. [4][5][6] The minimally invasive Ponto surgery (MIPS) was suggested as a refinement of the tissue preservation techniques.…”

“…[4][5][6] The minimally invasive Ponto surgery (MIPS) was suggested as a refinement of the tissue preservation techniques. 1 With a custom set of surgical components, the surgery is performed through only a 5-mm circular incision. This report presents the details of this method, the instruments used, key items to address and the shortterm follow-up data from centres that evaluated this technique.…”