Baha Attract Implantation Using a Small Incision: Initial Report of Surgical Technique and Surveillance

Jang, Dong Su; Shin, Dong Hyo; Han, Woojae; Kong, Tae Hoon; Seo, Young Joon

doi:10.21053/ceo.2019.00381

Cited by 7 publications

(5 citation statements)

References 22 publications

(28 reference statements)

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“…After skin incision, skin and subcutaneous tissue dissection were performed, and the internal device was implanted according to the implantation guidelines of each device. 8) Internal devices were confirmed by postoperative radiologic tests (Fig. 2).…”

Section: Surgical Proceduresmentioning

confidence: 85%

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Hearing Rehabilitation Using Bone Conduction Implants in Patients With Single-Sided Deafness After Vestibular Schwannoma Removal

Lee¹,

Park²,

Moon³

2023

Korean J Otorhinolaryngol-Head Neck Surg

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Background and Objectives Vestibular schwannoma (VS) itself or treatment of VS can cause single-sided deafness (SSD), a unilateral sensorineural hearing loss. Patients of SSD experience communication problems, which can be frustrating. For decades, many types of bone conduction implants (BCIs) have been developed and used to treat such hearing problems. In this study, we evaluated the effectiveness of BAHD surgery to treat SSD patients’ hearing impairment and analysed the complications patients suffer.Subjects and Method A retrospective chart review was conducted on 12 patients who had undergone BCIs, such as Baha Attract, Bonebridge, and Sophono implantation, after removal of VS. From 2016 to 2021, one senior surgeon at a single tertiary hospital performed surgery for SSD rehabilitation. The authors analysed the clinical features, radiologic findings (CT and MRI), hearing tests (pure tone audiogram [PTA], speech audiogram [SA], and Korea hearing in noise test), subjective satisfaction scores (abbreviated profile of hearing aid benefit), and surgical outcomes of the patients.Results All patients underwent temporal MRI, temporal bone CT scan, PTA, and SA at least 3 years after VS removal and confirmed no residual tumour or serviceable contralateral hearing at the last follow-up. Among the patients (12), eight received Baha Attract implantation, three received Bonebridge implantation, and one received Sophono implantation. On the average, patients’ ipsilateral hearing outcomes improved by 82.7 dB (from 115.8±9.8 dB to 33.1±9.5 dB).Conclusion There are many methods of hearing rehabilitation in SSD that are used after VS, but BCI seemed to be the most useful treatment.

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Section: Surgical Proceduresmentioning

confidence: 85%

“…bridge usually requires a larger incision 8) and wide mastoid bone drilling, considering the device size, 13,14) and requires a microscope for mastoid bone drilling. Thus, the operation was simpler in Baha Attract.…”

Section: Discussionmentioning

confidence: 99%

Hearing Rehabilitation Using Bone Conduction Implants in Patients With Single-Sided Deafness After Vestibular Schwannoma Removal

Lee¹,

Park²,

Moon³

2023

Korean J Otorhinolaryngol-Head Neck Surg

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“…Simultaneously, avoiding the sigmoid sinus can prevent bleeding and epidural hematoma [17]. In this study, we measured temporal bone thickness at a point 3 cm posterior and 2 cm superior to the posterior wall of the EAC, where BCIs are usually placed [18]. The mean thickness ranged from 4.10±0.99 mm to 4.89±0.93 mm, showing sufficient depth for BCI placement.…”

Section: Discussionmentioning

confidence: 99%

“…Of the 406 patients, 221 (54.4%) were males and 185 (45.6%) were females. Patients were divided into groups according to age and included 42 to 63 people in each group (10)(11)(12)(13)(14)(15)(16)(17)(18)(19), 20-29, 30-39, 40-49, 50-59, 60-69, 70-79, and 80-89).…”

Section: Patientsmentioning

confidence: 99%

Measurement of Skull Size on Computed Tomography Images for Developing a Bone Conduction Headset Suitable for the Korean Standard Head Size

Kim

et al. 2020

J Audiol Otol

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Background and Objectives: We aimed to measure the head dimensions on computed tomography (CT) images, to compare them to directly measured head dimensions, and to predict a new parameter of bone thickness for aiding bone conduction implant (BCI) placement. Subjects and Methods: We reviewed the facial and mandibular bone CT images of 406 patients. Their head sizes were analyzed using five parameters included in the 6th Size Korea project, and they were divided into age groups (ranging from the 10s to the 80s). We compared the head length, head width, sagittal arc, bitragion arc, and head circumference in the CT and Size Korea groups. We also added the parameter bone thickness for aiding BCI placement. Results: All the head size parameters measured using CT were significantly smaller than those measured directly, with head length showing the smallest difference at 7.85 mm. The differences in the other four parameters between the two groups according to patient age were not statistically significantly different. Bone thickness had the highest value of 4.89±0.93 mm in the 70s and the lowest value of 4.10±0.99 mm in the 10s. Bone thickness also significantly correlated with head width (p=0.038). Conclusions: Our findings suggested that the CT and direct measurements yielded consistent data. Moreover, CT enabled the measurement of bone sizes, including bone thickness, that are impossible to measure directly. CT measurements may complement direct measurements in the Size Korea data when used for developing bone conduction hearing devices (BCIs and headsets) for the Korean population.

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“…It is attached to a corresponding external magnet. Two magnets are being used: one under the skin connected to the implant and the second is on the outside along with the sound processor [3]. Unlike BAHA® Connect System, this BAHA® Attract System avoids soft tissue reduction at the implant site, therefore, preventing irritation and inflammation of the skin.…”

Section: Introductionmentioning

confidence: 99%

Bone Anchored Hearing Aid (BAHA®) Implant in Canal Atresia and Microtia: A Single Case Report

Tarmizi¹,

Abdullah²,

Naseri³

2022

MRAJ

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Bone anchored hearing aid (BAHA®) implant is a type of hearing rehabilitation for patients with conductive, mixed or unilateral hearing loss. There are various options for BAHA® usage. Two of the most used bone-anchored hearing implant systems are the BAHA® Connect and BAHA® Attract. The BAHA® Connect uses a skin-penetrating titanium abutment. The BAHA® Attract uses an implanted magnet, leaving the overlying skin intact. This case report highlights the particular benefits of BAHA® Attract System in a patient who had previously worn the BAHA® Connect System. It was upgraded to the Attract System following post-surgical infection. The patient showed improved compliance, and thus has a better hearing outcome. BAHA® Attract system gives its patient better compliance and ease of use along with its reduced complications.

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Baha Attract Implantation Using a Small Incision: Initial Report of Surgical Technique and Surveillance

Cited by 7 publications

References 22 publications

Hearing Rehabilitation Using Bone Conduction Implants in Patients With Single-Sided Deafness After Vestibular Schwannoma Removal

Hearing Rehabilitation Using Bone Conduction Implants in Patients With Single-Sided Deafness After Vestibular Schwannoma Removal

Measurement of Skull Size on Computed Tomography Images for Developing a Bone Conduction Headset Suitable for the Korean Standard Head Size

Bone Anchored Hearing Aid (BAHA®) Implant in Canal Atresia and Microtia: A Single Case Report

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