Percutaneous Osseointegrated Implant Surgery Without Skin Thinning in Children

Abstract

The percutaneous osseointegrated implantation technique without skin thinning that has recently been implemented in adults is also beneficial for children.

Complications and parent satisfaction in pediatric osseointegrated bone‐conduction hearing implants

“…We did observe a trend toward fewer complications (17%) when a no soft‐tissue reduction technique was used. This is consistent with several studies that suggest a lower rate of complications when a simplified surgical technique without soft tissue reduction is used …”

Soft Tissue Integration of Hydroxyapatite‐Coated Abutments for Bone Conduction Implants

“…However, variable degrees of inflammation or infection around the abutment are not uncommon . Certain complications reported from bone conduction implant surgeries, such as flap necrosis and numbness and/or pain around the implant, are related to extensive tissue removal . In addition, soft tissue reduction has the cosmetic drawback of leaving a hair‐free “divot” area around the abutment.…”

“…3,4 Certain complications reported from bone conduction implant surgeries, such as flap necrosis and numbness and/or pain around the implant, are related to extensive tissue removal. [5][6][7] In addition, soft tissue reduction has the cosmetic drawback of leaving a hair-free "divot" area around the abutment. Therefore, from both a medical and esthetic perspective, leaving the skin intact may provide significant advantages if soft tissue stability can be guaranteed.…”

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

“…Additionally, the skin thinning and hypertrophic scar tissue could reduce blood transport, thus potentially hampering the local immunological responses of importance in the healing procedure and in peri-implant infections (21). Recent studies indicate that the omission of skin thinning may be preferable to any reduction of the subcutis, as it does not augment skin problems clinically or histologically and it allows for a better aesthetic outcome (1,4,6,22). These results were reinforced in the current study, as no increased rate of skin-related problems was observed in the test group 5 years after implantation.…”

“…Periimplant infections, the most common sequelae from the traditional procedure, were also reduced in number after the non-skin thinning procedure. Notably, BAHD implantation without skin thinning has been proven useful in both adults and children (1,6). Previous studies of this new technique, however, have been limited to short follow-up periods.…”