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
- 151 Downloads
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.
KeywordsSkin 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.
- 1.Devèze A (2014) Implantable hearing aids. Recent advances. In: Lalwani A, Pfister M (eds). Otolaryngology head and neck surgery, 3rd edn. Jaypee 148–185Google Scholar
- 6.Wade PS, Halik JJ, Chasin M (1992) Bone conduction implants: transcutaneous vs. percutaneous. Otolaryngol Head Neck Surg 106:68–74 (Erratum in: Otolaryngol Head Neck Surg 1992;106:412–413)Google Scholar
- 22.Calvo Bodnia N, Foghsgaard S, Nue Møller M, Cayé-Thomasen P (2014) Long-term results of 185 consecutive osseointegrated hearing device implantations: a comparison among children, adults, and elderly. Otol Neurotol 35:e301–e306Google Scholar
- 25.Nelissen RC, Stalfors J, de Wolf MJ, Flynn MC, Wigren S, Eeg-Olofsson M, Green K, Rothera MP, Mylanus EA, Hol MK (2014) Long-term stability, survival, and tolerability of a novel osseointegrated implant for bone conduction hearing: 3-year data from a multicenter, randomized, controlled, clinical investigation. Otol Neurotol 35:1486–1491PubMedCrossRefGoogle Scholar