Surgical Explantation of Bone-Anchored Hearing Devices: A 10-year Single Institution Review.

Document Type

Article

Publication Date

1-1-2020

Publication Title

Otolaryngology -- Head and Neck surgery

Abstract

OBJECTIVE: To identify clinical variables associated with the decision to surgically discontinue bone-anchored hearing device function.

STUDY DESIGN: Retrospective chart review.

SETTING: Tertiary neurotology referral center.

SUBJECTS AND METHODS: This study examines surgical interventions performed on existing bone-anchored hearing devices at a single institution from 2008 to 2018. Patient characteristics, indications for implantation, and complications prompting surgical intervention were assessed.

RESULTS: Seventy-seven cases were included in this study. Among patients in the younger cohort (old), 100% (13 of 13) of those discontinuing their device had a contralateral normal-hearing ear. Conversely, 0% (0 of 14) of the younger patients with bilateral hearing loss surgically discontinued their devices. Within the older cohort (≥37 years old), female patients (

CONCLUSION: Surgical discontinuation is associated with several clinical variables. Targeted interventions that are viable alternatives to removal, such as device relocation, should be presented to younger patients with a contralateral normal-hearing ear who experience persistent complications. Patients with persistent infection in the absence of soft tissue overgrowth would especially benefit from enhanced counseling on proper hygiene.

Volume

162

Issue

1

First Page

95

Last Page

101

DOI

10.1177/0194599819879653

ISSN

1097-6817

PubMed ID

31570059

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