Bone-anchored hearing aid A single-stage procedure in children

Ali, Safina; Hadoura, Lubna; Carmichael, Audrey; Geddes, N.K.

doi:10.1016/j.ijporl.2009.03.028

Cited by 27 publications

(15 citation statements)

References 11 publications

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“…The growing use of one-stage BAHA surgery in pediatric age may raise concerns with regard to the safety of this procedure and the higher risk of fixture loss, since the pediatric skull has a thinner bone and a lower mineral content than the adult skull. Despite these assumptions, retrospective studies on one-stage BAHA surgery in children show no differences in terms of complication and failure rates as compared to adult patients, providing the skull thickness is adequate [11,12]. Consistent with these reports, in the 15 children undergoing one-stage surgery in the present series, there was no case of implant loss and the rate of skin reactions around the implant was not different from the two-stage group rate.…”

Section: Discussionsupporting

confidence: 83%

Pediatric BAHA in Italy: the “Bambino Gesù” Children’s Hospital’s experience

Marsella

Scorpecci

Pacifico

et al. 2011

Eur Arch Otorhinolaryngol

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The "Bambino Gesù" Children's Hospital offers the largest Italian cohort of children using a BAHA. This paper retrospectively reviews the center's experience with pediatric BAHA from its start in 1995 to December 2009, especially focusing on most debated issues, all the way from candidate selection to functional outcome and complications. A total of 47 children (21 females and 26 males) were implanted. From 1995 to 2000, a two-stage procedure was adopted in 100% (n = 22) cases. From 2001 onwards, one-stage surgery was chosen for 10 patients. Implant loss occurred in two patients (4.2%) after a two-stage surgery. Overall, the local complication rate was not different in the one-stage and in the two-stage group. The functional gain was significantly better with BAHA than conventional bone-conduction hearing aids and there was no significant difference in terms of functional outcome between the seven patients receiving a BAHA at an age younger than 5 years and the rest. The study results suggest that children presenting an indication to auditory rehabilitation with BAHA should be referred to specialized tertiary care centers. Only in such settings, a complete, multidisciplinary approach to associated comorbidities and syndromes is possible, and implantation of children at an age younger than five and one-stage surgery can be conducted safely and effectively.

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Section: Discussionsupporting

confidence: 83%

Pediatric BAHA in Italy: the “Bambino Gesù” Children’s Hospital’s experience

Marsella

Scorpecci

Pacifico

et al. 2011

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

show abstract

“…This consideration should make a ''one-stage'' approach the rule in TC patients; yet this is generally an intraoperative decision, depending on the individual anatomical conditions that are encountered. Recent reports suggest that a one-stage approach to pediatric Baha is possible, although so far they have included but very few TC patients [11]. 11 out of 23 children (48%) in our series underwent one-stage surgery.…”

Section: Discussionmentioning

confidence: 78%

Bone-anchored hearing aid (Baha) in patients with Treacher Collins syndrome: Tips and pitfalls

Marsella¹,

Scorpecci²,

Pacifico³

et al. 2011

International Journal of Pediatric Otorhinolaryngology

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“…A semicircular flap was opened, or a dermatome was used, and the subcutaneous tissue and hair follicles were removed down to the periosteum. Two screws were then placed according to traditional protocols (9,10). In the 2-step procedure, the positioning of the bone-anchored fixture concluded the first step.…”

Section: Methodsmentioning

confidence: 99%