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[Titanium implants in otorhinolaryngology].

A Tjellström1

  • 1HNO-Klinik Universität Göteborg, Schweden.

HNO
|August 1, 1989
PubMed
Summary

Commercially pure titanium implants facilitate direct bone contact and skin integration for craniofacial rehabilitation. This biomaterial and technique achieve high success rates in bone-anchored hearing aids and prostheses.

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Implant survival rate in bone-anchored hearing aid users: long-term results.

The Journal of laryngology and otology·2011
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Unilateral versus bilateral bone-anchored hearing aids (BAHAs).

Cochlear implants international·2008
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Survival rate of self-tapping implants for bone-anchored hearing aids.

The Journal of laryngology and otology·2006
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How we do it: Frequency of skin necrosis after BAHA surgery.

Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·2006
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Osseointegrated implants in children: experience from our first 100 patients.

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery·2001
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Bone-anchored hearing aids: current status in adults and children.

Otolaryngologic clinics of North America·2001

Area of Science:

  • Biomaterials Science
  • Surgical Innovation
  • Osseointegration Research

Context:

  • Craniofacial rehabilitation requires stable implant integration.
  • Minimally invasive surgical techniques are crucial for patient outcomes.
  • Long-term follow-up is essential for assessing implant success.

Purpose:

  • To evaluate the efficacy of commercially pure titanium implants in craniofacial applications.
  • To assess the rate of osseointegration and skin integration with titanium implants.
  • To determine the long-term success and complication rates of implants used for hearing aids and prostheses.

Summary:

  • Direct bone-implant contact was achieved using commercially pure titanium and trauma-minimizing surgery.
  • Successful, reaction-free skin penetration was maintained in most patients.
  • Over 500 mastoid implants showed high integration (3 failures), while orbital implants had lower success rates.
  • Long-term monitoring of 370 patients revealed normal skin in 90% of observations, with only 8 implant removals due to infection.

Impact:

  • Establishes commercially pure titanium as a reliable material for craniofacial implants.
  • Demonstrates the feasibility of long-term osseointegration and skin integration in vivo.
  • Provides data supporting the use of bone-anchored implants for improved quality of life in patients requiring craniofacial prostheses or hearing rehabilitation.

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