A ten‐year review of soft tissue reactions around percutaneous titanium implants for auricular prosthesis

Tzortzis, Sevasti; Tzifa, Konstance; Tikka, Theofano; Worrollo, Steve; Williams, Joanne; Reid, Andrew; Proops, David W.

doi:10.1002/lary.25211

Cited by 9 publications

(6 citation statements)

References 10 publications

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“…In our population, we did not observe a statistically significant difference in adverse skin reactions between age groups. This finding is in contrast to the study by Dun et al (9) and Tzortzis et al (10), that children are more prone to adverse skin reactions when compared to adults and the elderly. A similar study on adults by Husseman et al (11) reported an adverse skin reaction rate of 14.7%.…”

Section: Discussioncontrasting

confidence: 99%

Adverse skin reactions following percutaneous bone conduction implant surgery using the linear incision technique with and without subcutaneous tissue reduction

Gucht

Vanderveken

Hamans

et al. 2016

Acta Oto-Laryngologica

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Of the 289 bone conduction implants, 25 were implanted in children, 220 in adults, and 44 in elderly. Implant loss occurred in 2.8% of all cases: 8.0% in children, 2.3% in adults, and 2.3% in the elderly. Skin overgrowth was seen in 4.2%: 4% in children, 4.8% in adults, and 3.5% in the elderly. No differences were observed in the amount of adverse skin reactions (16.8% vs 14.7%) or skin overgrowth (4.6% vs 2.9%) between the surgical techniques. There was no difference in adverse skin reactions if the patient had a retroauricular incision (14.4% with vs 17.8% without prior incision).

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Section: Discussioncontrasting

confidence: 99%

Adverse skin reactions following percutaneous bone conduction implant surgery using the linear incision technique with and without subcutaneous tissue reduction

Gucht

Vanderveken

Hamans

et al. 2016

Acta Oto-Laryngologica

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“…However, there are skin complications related to percutaneous devices, and some patients who cannot or do not want to use percutaneous devices for dermatologic or esthetic reasons may have the option of an active middle ear prosthesis [1] . Bone conduction implant surgery can also result in complications related to osteointegration, and rarely, major complications are associated with drilling a small hole toward the dura [2] .…”

Section: Introductionmentioning

confidence: 99%

An Implantable Hearing System As Rehabilitation for Hearing Loss Due to Bilateral Aural Atresia: Surgical Technique and Audiological Results

Brito¹,

Ventura²,

Jorge³

et al. 2016

Int Adv Otol

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OBJECTIVE:To demonstrate the surgical technique and audiological results of a middle ear implant for restoring hearing in patients with bilateral aural atresia and microtia with conductive or mixed hearing loss. MATERIALS and METHODS:In this prospective study, 12 subjects aged 12 years and older presenting with hearing loss and bilateral congenital aural atresia underwent surgical insertion of a middle ear implant. The patients underwent tympanomastoidectomy with a wide opening of the attic and preservation of the roof of the atresic tympanic bone to expose the middle ear and position the floating mass transducer of the implant.RESULTS: There were no intraoperative or postoperative complications. The hearing threshold averages in a free field were 53.5 dB preoperatively and 25.6 dB postoperatively. Monosyllabic word recognition averaged 61% preoperatively and 91.3% postoperatively. The average speech perception in quiet conditions during the hearing in noise test improved from 67.11 dB to 45.99 dB, and the signal-to-noise ratio improved from 5.64 to 1.31. CONCLUSION:The tested system is an excellent option for auditory rehabilitation of conductive hearing loss due to bilateral ear atresia. The surgery is well structured and safe and provides several alternatives to the surgeon, which is valuable in difficult cases.

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“…A remarkable outcome is the fact that revision surgery was not needed in our patients whereas in the literature, also in bone-anchored hearing, the reported necessity for revision surgery varies considerably, even up to approximately one-third of the patients [28, 31, 32, 34]. This might be associated with different surgical techniques (tissue preservation vs. tissue reduction [22–24]).…”

Section: Discussionmentioning

confidence: 82%

“…Jacobsson et al reports adverse tissue reactions in 9.68% of the observations in a paediatric population [31]. Tzortzis et al reports a higher incidence of adverse soft-tissue reactions in children compared to adults (Holgers grade 2 or higher, 28 vs. 3% of the patients) [32]. …”

Section: Discussionmentioning

confidence: 99%

Auricular prostheses attached to osseointegrated implants: multidisciplinary work-up and clinical evaluation

Vijverberg

Verhamme

Pol

et al. 2019

Eur Arch Otorhinolaryngol

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PurposeNot long after the introduction of osseointegrated implants outside the oral cavity, auricular prostheses are retrained on osseointegrated implants. New insights have been gained with the next-generation percutaneous osseointegrated titanium implants for bone conduction hearing since its introduction in 2010. As a result, the same technology was introduced in the Vistafix® system (VXI implant) to retain auricular prostheses. The aim of this study is to evaluate the surgical procedure, clinical outcome, and satisfaction of the patient of osseointegration-retained auricular prosthesis using VXI implants.Materials and methods11 patients who received an auricular prosthesis using VXI implants between December 2012 and November 2017 were evaluated retrospectively. The patient’s medical files were reviewed to assess clinical complications and the necessity for revision surgery. The subjective outcome was measured using the Glasgow benefit inventory (GBI).ResultsIn total, 31 implants were placed in 11 patients. None of these implants were lost nor revision surgery needed. An adverse skin reaction was observed in 13.0% of the implants and in 27.2% of the patients, adequately treated with an antibiotic ointment. The average follow-up time was 2 years and 7 months. The GBI displayed a positive score in every patient.ConclusionsThe VXI implants used are a safe and reliable treatment option for retaining auricular prostheses in patients with an absent auricle. Patients were satisfied with their auricular prosthesis and showed benefit in quality of life. Studies with larger numbers and preferably a prospective character are needed to draw statistically significant conclusions.

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A ten‐year review of soft tissue reactions around percutaneous titanium implants for auricular prosthesis

Abstract: 4

Cited by 9 publications

References 10 publications

Adverse skin reactions following percutaneous bone conduction implant surgery using the linear incision technique with and without subcutaneous tissue reduction

Adverse skin reactions following percutaneous bone conduction implant surgery using the linear incision technique with and without subcutaneous tissue reduction

An Implantable Hearing System As Rehabilitation for Hearing Loss Due to Bilateral Aural Atresia: Surgical Technique and Audiological Results

Auricular prostheses attached to osseointegrated implants: multidisciplinary work-up and clinical evaluation

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