Abstract
Objective: To introduce a minimally invasive and image-guided technique for staged placement of a percutaneous abutment after osseointegrated implantation. Patients: Adults undergoing temporal bone resection at two academic medical centers. Interventions: Ultrasound-guided percutaneous installation of a bone conduction hearing device abutment. All patients had lateral temporal bone resection with osseointegrated implantation. Abutment placement followed as a planned staged procedure 3 to 6months later depending on the use of radiotherapy. Main Outcome Measures: Ability to use a bone conduction hearing device and occurrence of skin reactions or wound complications. Results: Twelve patients successfully underwent abutment installation through a 5mm skin biopsy punch incision, nine of which had minimal to no skin reaction surrounding the abutment. Two patients developed Holgers grade 1 skin reaction (redness with slight swelling). One patient experienced an osseointegration failure 152days after abutment placement. Conclusions: Ultrasound is a widely available imaging modality that can be used to precisely localize subcutaneous osseointegrated implants, allowing for minimally invasive percutaneous placement of an abutment under local or ge neral anesthesia.
Original language | English (US) |
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Pages (from-to) | E224-E228 |
Journal | Otology and Neurotology |
Volume | 43 |
Issue number | 2 |
DOIs | |
State | Published - Feb 1 2022 |
Keywords
- Abutment
- Bone conduction hearing device
- Image guidance
- Ultrasound
ASJC Scopus subject areas
- Otorhinolaryngology
- Sensory Systems
- Clinical Neurology