The efficacy of bone-anchored hearing implant surgery in children: A systematic review

Kruyt, I.J.; Bakkum, K.H.E.; Caspers, Coosje Jacoba Isabella; Hol, Myrthe K. S.

doi:10.1016/j.ijporl.2020.109906

Cited by 19 publications

(33 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Percutaneous bone conduction implants (BCIs) provide significant audiological gain but are associated with a high rate of complications [10][11][12][13]. It has also been reported that the performance of active transcutaneous bone conduction hearing implant is superior to passive skin-driven BC devices with implanted magnets (which suffer a transcutaneous signal attenuation of 10-15 dB) because the signal in an active transcutaneous BC implant is independent of the thickness of the skin and hair.…”

Section: Bone Conduction Hearing Systemsmentioning

confidence: 99%

“…The overall complication rate was 23.9%, and the rate of revision surgery was 12.1%. Some publications show a high percentage of postoperative complications after the use of percutaneous implants, with one report that "A total of 58.8% of patients with Connect surgeries had complications within a year and 82.4% had a complication by their last follow-up" [10][11][12][13][15][16][17]. Active transcutaneous BCIs have good functional outcomes, directly vibrating the temporal bone for optimal sound quality and more powerful amplification while avoiding the complications associated with percutaneous abutment (skin reaction, skin growth over the abutment, and wound infection).…”

Section: Bone Conduction Hearing Systemsmentioning

confidence: 99%

See 1 more Smart Citation

The Bonebridge BCI 602 Active Transcutaneous Bone Conduction Implant in Children: Objective and Subjective Benefits

Cywka

Skarżyńśki

Król

et al. 2021

JCM

View full text Add to dashboard Cite

Background: the Bonebridge hearing implant is an active transcutaneous bone conduction implant suitable for various types of hearing loss. It was first launched in 2012 as the BCI 601, with a newer internal part (BCI 602) released in 2019. With the new size and shape, the BCI 602 can be used in patients previously excluded due to insufficient anatomical conditions, especially in patients with congenital defects of the outer and middle ear. Objectives: the purpose of this study is to evaluate the objective and subjective benefits of the new Bonebridge BCI 602 in children who have hearing impairment due to conductive or mixed hearing loss. Safety and effectiveness of the device was assessed. Methods: the study group included 22 children aged 8–18 years (mean age 14.7 years) who had either conductive or mixed hearing loss. All patients were implanted unilaterally with the new Bonebridge BCI 602 implant. Pure tone audiometry, speech recognition tests (in quiet and noise), and free-field audiometry were performed before and after implantation. Word recognition scores were evaluated using the Demenko and Pruszewicz Polish Monosyllabic Word Test, and speech reception thresholds in noise were assessed using the Polish Sentence Matrix Test. The subjective assessment of benefits was carried outusing the APHAB (Abbreviated Profile of Hearing Aid Benefit) questionnaire. Results: after implantation of the Bonebridge BCI 602 all patients showed a statistically significant improvement in hearing and speech understanding. The mean word recognition score (WRS) changed from 12.1% before implantation to 87.3% after 6 months. Mean speech reception threshold (SRT) before implantation was +4.79 dB SNR and improved to −1.29 dB SNR after 6 months. All patients showed stable postoperative results. The APHAB questionnaire showed that difficulties in hearing decreased after implantation, with a statistically significant improvement in global score. Pre-operative scores (M = 35.7) were significantly worse than post-operative scores at 6 months (M = 25.7). Conclusions: the present study confirms that the Bonebridge BCI 602 is an innovative and effective solution, especially for patients with conductive and mixed hearing loss due to anatomical ear defects. The Bonebridge BCI 602 system provides valuable and stable audiological and surgical benefits. Subjective assessment also confirms the effectiveness of the BCI 602. The BCI 602 offers the same amplification as the BCI601, but with a smaller size. The smaller dimensions make it an effective treatment option for a wider group of patients, especially children with congenital defects of the outer and middle ear.

show abstract

Section: Bone Conduction Hearing Systemsmentioning

confidence: 99%

Section: Bone Conduction Hearing Systemsmentioning

confidence: 99%

The Bonebridge BCI 602 Active Transcutaneous Bone Conduction Implant in Children: Objective and Subjective Benefits

Cywka

Skarżyńśki

Król

et al. 2021

JCM

View full text Add to dashboard Cite

show abstract

“…The fixation of the transducer can cause poor esthetics. Surgical procedures, such as implanting bone-anchored hearing aids (BAHAs), are additional options [ 25 , 26 , 27 , 28 , 29 , 30 , 31 ] but involve various risks, such as adverse medical and surgical events, infection, and follow-up surgery [ 32 , 33 ]. Some patients also refuse BAHA implantation because of cosmetic considerations [ 34 ].…”

Section: CC Applicationsmentioning

confidence: 99%

Cartilage Conduction Hearing and Its Clinical Application

et al. 2021

View full text Add to dashboard Cite

Cartilage conduction (CC) is a form of conduction that allows a relatively loud sound to be audible when a transducer is placed on the aural cartilage. The CC transmission mechanism has gradually been elucidated, allowing for the development of CC hearing aids (CC-HAs), which are clinically available in Japan. However, CC is still not fully understood. This review summarizes previous CC reports to facilitate its understanding. Concerning the transmission mechanism, the sound pressure level in the ear canal was found to increase when the transducer was attached to the aural cartilage, compared to an unattached condition. Further, inserting an earplug and injecting water into the ear canal shifted the CC threshold, indicating the considerable influence of cartilage–air conduction on the transmission. In CC, the aural cartilage resembles the movable plate of a vibration speaker. This unique transduction mechanism is responsible for the CC characteristics. In terms of clinical applications, CC-HAs are a good option for patients with aural atresia, despite inferior signal transmission compared to bone conduction in bony atretic ears. The advantages of CC, namely comfort, stable fixation, esthetics, and non-invasiveness, facilitate its clinical use.

show abstract

“…Dicha transición conservaría la rehabilitación auditiva, lo que disminuiría las complicaciones en la piel, incrementaría la utilización del dispositivo y mejoraría la calidad de vida de los usuarios. Además, el sistema de anclaje magnético no requiere el mismo régimen de higiene diaria y proporciona una ventaja práctica debido a que requiere menores necesidades de cuidado (3,16).…”

Section: Reacciones En Pielunclassified

“…Los implantes de conducción ósea percutáneos son ampliamente utilizados como terapia estándar para la rehabilitación de pacientes con hipoacusia conductiva y mixta, en quienes no es posible usar un audífono convencional o reconstruir el mecanismo de transmisión del sonido (1)(2)(3). Su uso también se ha extendido a pacientes con sordera neurosensorial unilateral (single sided deafness, SSD), y también se ha convertido en una opción en este grupo de pacientes (4).…”

Section: Introductionunclassified

Resultados audiológicos y de calidad de vida en pacientes con transición del sistema Baha Connect® a Baha Attract®

Ordóñez¹,

Ge²,

Sc³

et al. 2020

Acta otorrinolaringol cir cabeza cuello

View full text Add to dashboard Cite

Introducción: los implantes auditivos de conducción ósea percutáneos han sido usados de forma exitosa. Sin embargo, un número importante de pacientes reportan reacciones en piel repetitivas. Los implantes auditivos transcutáneos son una alternativa que pueden solventar estas complicaciones. Con este estudio queremos describir los resultados audiológicos y de calidad de vida en pacientes que requirieron transición del sistema percutáneo a transcutáneo.Metodología: estudio observacional descriptivo, se incluyeron pacientes con implante auditivo percutáneo que requirieron transición a sistema transcutáneo. Se evaluó el desempeño auditivo utilizando una prueba con fondo ruidoso y se aplicó la escala de calidad de vida “Glasgow Benefit Inventory”-GBI.

show abstract

The efficacy of bone-anchored hearing implant surgery in children: A systematic review

Cited by 19 publications

References 37 publications

The Bonebridge BCI 602 Active Transcutaneous Bone Conduction Implant in Children: Objective and Subjective Benefits

The Bonebridge BCI 602 Active Transcutaneous Bone Conduction Implant in Children: Objective and Subjective Benefits

Cartilage Conduction Hearing and Its Clinical Application

Resultados audiológicos y de calidad de vida en pacientes con transición del sistema Baha Connect® a Baha Attract®

Contact Info

Product

Resources

About