Outcomes of the Baha Attract System combined with auricle reconstruction in mandarin speaking patients with bilateral microtia-atresia

Fan, Xinmiao; Chen, Yu; Niu, Xiaomin; Wang, Yibei; Fan, Yue; Chen, Xiaowei

doi:10.1080/00016489.2019.1571284

Cited by 9 publications

(12 citation statements)

References 15 publications

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“…Audiometry results confirmed that Baha @ Attract not only provided a satisfactory, stable hearing gains for microtia population, but also significantly improved speech recognition. The hearing test results consisted with that of other studies on microtia group, but were better than other studies including different etiologies (5,(11)(12)(13). As previously reported, downgrading magnet force without decreasing hearing gains was observed (14).…”

Section: Compared To Other Studies 431 Hearing Outcomesmentioning

confidence: 58%

“…Previous studies on the Baha @ Attract implantation combined with auricle reconstruction reported no adverse events (5,20). However, most involved patients in these studies were followed up for no more than 6 months post-fitting.…”

Section: Soft Tissue Safetymentioning

confidence: 90%

“…Several studies have proved the efficiency of this system and the advantage of less soft tissue complications(4). It has been reported the Baha @ Attract System implantation could be performed simultaneously with microtia auricular reconstruction (5). Unlike other hearing impairment population, patients with bilateral microtia ideally should get early audiological intervention during childhood to meet the demands of speech development.…”

Section: Introductionmentioning

confidence: 99%

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Long-term hearing performance and soft tissue outcomes of Baha@ Attract system in patients with bilateral congenital microtia in a single center

Chen

Xie

Ren

et al. 2021

Preprint

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Abstract： Background: Baha Attract System was designed as non-skin penetrating bone conduction implant to minimize skin complication. However, there were insufficient studies on its long-time acoustic outcome and safety in microtia patients with auricle reconstruction surgeries, who have thinner retroauricular subcutaneous layer and theoretically vulnerable skin at the implant side. Objectives: To analysis the long-term hearing performance and soft tissue complications of Baha@ Attract System in microtia population. Study Design & setting: A prospective cohort study at single tertiary referral center. Patients: Twenty Mandarin-speaking patients with congenital bilateral microtia who were underwent Baha@ Attract implantation with or without auricle reconstruction surgeries simultaneously. Main Outcome Measure(s): Comparative analysis of audiological test results including hearing thresholds and speech recognition in quiet and in noise were pre- and post-operatively performed. subjective benefit as measured with the SSQ Scale. Soft tissue outcomes were monitored and documented. Results: The mean follow-up time was 36.11±3.30 months. Significant and stable improvements in hearing threshold and speech understanding in noise and quiet were demonstrated with aided condition. Subject evaluation revealed high level of patients’ satisfaction with the amplification in all the subscales. Adverse events including skin necrosis increased after one year post-operatively. Soft tissue evolution including sin thinning, erythema, epidermis atrophy, soft tissue atrophy, skin necrosis was seen or once developed in most of the participants. However, prevalence of severe soft tissue complication was not higher to non-microtia population. Conclusions: Baha@ Attract System provides favorable and stable hearing improvements for microtia patients. Combining plastic surgeries with implantation will not increase the prevalence of soft tissue complication. However, long-term soft tissue problems should be highly aware of even after one year post implantation. Key words: Baha Attract, microtia, hearing, soft tissue, skin necrosis

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Section: Compared To Other Studies 431 Hearing Outcomesmentioning

confidence: 58%

Section: Soft Tissue Safetymentioning

confidence: 90%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Long-term hearing performance and soft tissue outcomes of Baha@ Attract system in patients with bilateral congenital microtia in a single center

Chen

Xie

Ren

et al. 2021

Preprint

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show abstract

“…Previous studies on Baha ® Attract implantation combined with auricle reconstruction reported no adverse events or major complications. 3,7 In the current study, which had a longer follow-up period, less than one-third of patients were free of soft tissue evolution or complications. This was much higher than previously reported (78.8% of the users were free of skin complications).…”

Section: Soft Tissue Safetymentioning

confidence: 60%

“…Unilateral implantation was performed solely or integrated with second staged auricle reconstruction (framework projection) for microtia simultaneously under general anaesthesia, as previously reported 2,3 …”

Section: Methodsmentioning

confidence: 99%

Long‐term hearing performance and soft tissue outcomes of the Baha^® Attract system in patients with bilateral congenital microtia in a single centre

Chen

Ren

Gao

et al. 2021

Clinical Otolaryngology

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Bone-anchored hearing implants can be considered as an effective way for hearing rehabilitation in people with bilateral microtia who are not eligible for meatoplasty and tympanoplasty. The Baha ® Attract system, a new type of non-skin penetrating bone conduction implants (BCIs), has proven to be efficacious, with fewer soft tissue complications than its percutaneous counterparts. 1 The implantation of Baha ® Attract can be performed simultaneously with staged auricle reconstruction surgery, reducing the number of surgeries required and associated expenditures. Despite these advantages, the microtia population remains a crucial factor in ensuring the soft tissue safety of Baha ® Attract users. During simultaneous surgery which combines the implantation with second staged auricle reconstruction surgery, the subcutaneous retroauricular fascial flap above the implant is dissected and rotated to cover the dorsal part of the reconstructed auricle, leading to a thinner subcutaneous layer and theoretically vulnerable skin on the implant side. 2 It is still unclear how simultaneous surgery affects the long-term soft tissue safety and hearing performance of Baha ® Attract. The current study was designed to elucidate this question and provide more evidence of the long-term soft tissue safety and hearing performance of Baha ® Attract.

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Audiological and subjective outcomes of 100 implanted transcutaneous bone conduction devices and preoperative bone conduction hearing aids in patients with bilateral microtia-atresia

Yang

Chen

Zhao

et al. 2020

Acta Oto-Laryngologica

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Outcomes of the Baha Attract System combined with auricle reconstruction in mandarin speaking patients with bilateral microtia-atresia

Cited by 9 publications

References 15 publications

Long-term hearing performance and soft tissue outcomes of Baha@ Attract system in patients with bilateral congenital microtia in a single center

Long-term hearing performance and soft tissue outcomes of Baha@ Attract system in patients with bilateral congenital microtia in a single center

Long‐term hearing performance and soft tissue outcomes of the Baha^® Attract system in patients with bilateral congenital microtia in a single centre

Audiological and subjective outcomes of 100 implanted transcutaneous bone conduction devices and preoperative bone conduction hearing aids in patients with bilateral microtia-atresia

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Outcomes of the Baha Attract System combined with auricle reconstruction in mandarin speaking patients with bilateral microtia-atresia

Cited by 9 publications

References 15 publications

Long-term hearing performance and soft tissue outcomes of Baha@ Attract system in patients with bilateral congenital microtia in a single center

Long-term hearing performance and soft tissue outcomes of Baha@ Attract system in patients with bilateral congenital microtia in a single center

Long‐term hearing performance and soft tissue outcomes of the Baha® Attract system in patients with bilateral congenital microtia in a single centre

Audiological and subjective outcomes of 100 implanted transcutaneous bone conduction devices and preoperative bone conduction hearing aids in patients with bilateral microtia-atresia

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Product

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Long‐term hearing performance and soft tissue outcomes of the Baha^® Attract system in patients with bilateral congenital microtia in a single centre