Bone-Anchored Hearing Implants: Surgical and Audiological Comparison of Different Surgical Techniques

Merve Torun Topcu; Basak Mutlu; Serdal Celik; Bahtiyar Celikgun; Ahmet Mutlu; M Tayyar Kalcioglu

doi:10.1055/s-0042-1742765

Bone-Anchored Hearing Implants: Surgical and Audiological Comparison of Different Surgical Techniques

Int Arch Otorhinolaryngol. 2022 Mar 2;26(4):e649-e656. doi: 10.1055/s-0042-1742765. eCollection 2022 Oct.

Authors

Merve Torun Topcu¹, Basak Mutlu¹, Serdal Celik², Bahtiyar Celikgun³, Ahmet Mutlu², M Tayyar Kalcioglu²

Affiliations

¹ Department of Audiology, Istanbul Medeniyet University, School of Health Sciences, Istanbul, Turkey.
² Department of Otorhinolaryngology, Istanbul Medeniyet University School of Medicine, Goztepe Training and Research Hospital, Istanbul, Turkey.
³ Marmara University, Health Sciences Institutes, Audiology Program, Istanbul, Turkey.

Abstract

Introduction The bone-anchored hearing implant system (BAHS) is an effective amplification system that transmits the sounds received by an external operating system to the inner ear by bypassing the middle ear placed in the temporal bone. Objective This study compares the results of patients who underwent bone-anchored hearing implant system (BAHS) surgery using two different surgical methods in terms of preoperative and postoperative complications, surgical time, audiological findings, and patient satisfaction. Methods The results of 22 patients who underwent BAHS were evaluated retrospectively from video records and audiological results, The Turkish Version of the Glasgow Benefit Inventory (GBI) questionnaire were evaluated. Two different surgical approaches were used for implantation: the linear incision technique ( n = 9) and the punch technique ( n = 13). Results Mean surgical durations were 9.67 ± 2.85 and 47.65 ± 6.13 minutes for Groups A and B, respectively, and these were significantly different ( p < 0.001). There were no significant differences between the groups' speech recognition scores for a signal-to-noise ratio (SNR) of +5 ( p = 0.173), SNR of 0 ( p = 0.315), or SNR of -5 ( p = 0.360) and results of the GBI scores. Conclusion The punch technique has a significant advantage due to a shorter surgery duration without increased surgical complications. Additionally, the punch technique showed no significant difference in hearing performance or satisfaction compared with linear incision.

Keywords: bone-anchored implants; hearing tests; linear incision technique; punch technique; quality of life.

Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ).