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Complications and parent satisfaction in pediatric osseointegrated bone‐conduction hearing implants
Author(s) -
Chan Kenny H.,
Gao Dexiang,
Jensen Emily L.,
Allen Gregory C.,
Cass Stephen P.
Publication year - 2017
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.26469
Subject(s) - medicine , bone conduction , osseointegration , sensorineural hearing loss , retrospective cohort study , hearing loss , conductive hearing loss , implant , dentistry , complication , surgery , pediatrics , audiology
Objective To assess long‐term complication rate and parental satisfaction of osseointegrated bone conduction hearing implants (OBCHIs). Study Design Retrospective chart review of children undergoing OBCHIs. Methods A retrospective chart review of children undergoing OBCHIs for the treatment of conductive, mixed, and single‐sided sensorineural hearing loss in children. Results Forty‐five subjects were identified with 0.3 to 10.4 years of follow‐up. The mean/median age and age range at implant were 9.0/7.8 and 1.7 to 19.1 years. The underlying hearing loss for the cohort included conductive (N = 30), sensorineural (N = 7), and mixed (N = 8) hearing loss. Conductive hearing loss, caused by aural atresia (62.9), was the most common indication for implantation. Fifty‐eight complications occurred in 29 subjects, most related to skin infection or overgrowth. Seventeen events required revision surgery, and 18 required oral antibiotics and/or office‐based cauterization. Children under the age of 5 years were more likely to have failure of osseointegration or require revision surgery. Parents of 33 subjects underwent a phone interview; 76% rated the overall satisfaction as satisfied or very satisfied. Conclusion A large percentage of children undergoing OBCHI develop postoperative complications, and up to 44% require revision surgery—a figure higher than generally reported and higher than in adults. No factors were found to adequately explain the higher complication rates in children compared to adults. Despite the occurrence of complications, parents viewed this device as satisfactory from many perspectives. Level of Evidence 4. Laryngoscope , 127:2165–2170, 2017