European Archives of Oto-Rhino-Laryngology

, Volume 272, Issue 9, pp 2563–2569 | Cite as

Switching from a percutaneous to a transcutaneous bone anchored hearing system: the utility of the fascia temporalis superficialis pedicled flap in case of skin intolerance

  • A. Devèze
  • S. Rossetto
  • R. Meller
  • M. Sanjuan Puchol
Case Report



To present the option to use a Fascia Temporalis Superficialis pedicled flap for the implantation of a transcutaneous magnetic osseointegrated auditory implant in selected revision procedures.


Osseointegrated auditory implants represent a reliable option for patients. Skin intolerance and aesthetic issue are two clear limitations of percutaneous system. Magnetic transcutaneous devices have been developed to overcome such drawbacks. The current new experience of such a device shows that they are well tolerated in primary cases. However, switching from a previous percutaneous system raises the question of skin tolerance. Hence, previous implanted abutments with skin penetration and skin reduction are more likely cause to skin intolerance and complication.


We described here the option to use a Fascia Temporalis Superficialis flap to cover the implanted magnet.


When switching from percutaneous osseointegrated auditory implant to transcutaneous system in case of high risk of skin intolerance, this procedure may provide sufficient tissue coverage to prevent skin intolerance, pain and delayed extrusion.


Skin reaction Transcutaneous baha Bone anchored hearing implant 



The authors would like to thank Mrs Emilia Ong-Daoud for proofreading the English version of the manuscript.


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Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  • A. Devèze
    • 1
    • 2
  • S. Rossetto
    • 3
  • R. Meller
    • 1
  • M. Sanjuan Puchol
    • 1
  1. 1.Assistance Publique Hôpitaux de Marseille, Department of ORL and Skull Base SurgeryUniversity Hospital Nord, Chemin des BourrellyMarseilleFrance
  2. 2.Laboratory of Applied BiomechanismAix Marseille University IFSTTAR UMR T24MarseilleFrance
  3. 3.Assistance Publique Hôpitaux de Marseille, Department of ORL and Skull Base SurgeryUniversity Hospital Nord and Center for Hearing AidMarseilleFrance

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