2019
DOI: 10.1017/s0022215119000501
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The Bonebridge active bone conduction system: a fast and safe technique for a middle fossa approach

Abstract: BackgroundThe transmastoid pre-sigmoid approach is always the preferred choice for implantation of the Bonebridge active bone conduction system in patients with a normal anatomy. When an anatomical variant exists or a previous surgery has been performed, a retrosigmoid approach or middle fossa approach can be performed.MethodsThe preferred surgical technique for a middle fossa approach is described. A 14 mm drill head (Neuro Drill) was used to create the bed at the squamous portion of the temporal bone. Surgic… Show more

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Cited by 22 publications
(22 citation statements)
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“…The BB-BCI is the first active, transcutaneous BCI and multiple studies have shown it to be an effective device to treat hearing loss in patients with mixed or conductive hearing loss [10][11][12][13][14][15]. The BB-BCI can be implanted under a variety of surgical techniques, with the implant housed in either the TM or RF, and recently the MF location.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…The BB-BCI is the first active, transcutaneous BCI and multiple studies have shown it to be an effective device to treat hearing loss in patients with mixed or conductive hearing loss [10][11][12][13][14][15]. The BB-BCI can be implanted under a variety of surgical techniques, with the implant housed in either the TM or RF, and recently the MF location.…”
Section: Discussionmentioning
confidence: 99%
“…The transmitted vibration to the cochlea using BCIs has been widely studied in the literature using accelerometers [8][9][10] and laser Doppler vibrometry (LDV) techniques. A broad range of studies have focused on the effect of implant location on the transmitted sound to the cochlear promontory [11][12][13][14][15][16][17][18]. In studies of percutaneous devices, a significant effect was found when the implant was located closer to the cochlea [9].…”
Section: Introductionmentioning
confidence: 99%
“…In our hospital, we began using the Bonebridge system in 2012, and we have now implanted a total of 46 patients. In a recently published study, 22 we described our favourite technique of a middle fossa approach, considering it a safe and excellent option when the pre-sigmoid technique is not reliable. In the case of previous cervicofacial surgical procedures such as rhytidectomy or parotidectomy, where post-auricular vascularisation can be compromised, we think that the middle fossa approach has to be considered the best option to avoid a large post-auricular incision in the conflictive area.…”
Section: Discussionmentioning
confidence: 99%
“…If possible, two flaps are prepared: a superficial flap that includes the skin and subcutaneous tissue, and a deeper fascio-muscular flap to reduce the risk of device extrusion. 13 Haemostasis is achieved with monopolar or bipolar electrocautery. However, once the implant is in the surgical field, bipolar electrocautery is mandatory.…”
Section: Methodsmentioning
confidence: 99%