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Influence of Behavior on Complications of Osseointegrated Bone Conduction Devices in Children
Michael E Kubala1, Matthew D Cox, Kurt L Nelson
1*Department of Otolaryngology-Head and Neck Surgery, University of Arkansas for Medical Sciences †Arkansas Children's Hospital, Little Rock, Arkansas.
Insights
Behavioral disorders did not impact complication rates in pediatric osseointegrated bone conduction device (OBCD) implantations. This study found no significant difference in osseointegration failure or soft tissue reactions between children with and without behavioral challenges.
Area of Science:
- Otolaryngology
- Pediatric Otology
- Biomedical Engineering
Background:
- Osseointegrated bone conduction devices (OBCD) are crucial for hearing rehabilitation in pediatric patients.
- Understanding factors influencing OBCD complication rates is essential for optimizing patient outcomes.
Purpose of the Study:
- To compare the incidence of complications following osseointegrated bone conduction device (OBCD) implantation in children with and without behavioral disorders.
- To determine if behavioral disorders affect osseointegration failure (OIF) or skin/soft tissue reactions post-implantation.
Main Methods:
- A case series with chart review was conducted at a tertiary referral otology and neurotology practice.
- Pediatric patients implanted with OBCD (Cochlear BAHA 200/BI300, Oticon) between May 2009 and July 2014 were analyzed.
- Complication rates, including OIF and soft tissue reactions, were compared between children with and without behavioral disorders.
Main Results:
- The overall complication rate was 66.2%, with minor complications accounting for the majority (39.4%).
- No statistically significant differences were observed in total complication rates (p=0.461), minor complications (p=0.443), or major complications (p=0.777) between the control group and children with behavioral disorders.
- Specific analysis of minor and major complications also showed no significant difference (p=0.762).
Conclusions:
- Behavioral disorders were not found to influence the incidence of osseointegration failure (OIF) or skin/soft tissue reactions after OBCD implantation in pediatric patients.
- These findings suggest that behavioral status does not adversely affect the surgical outcomes of OBCD in children.
Objective:
Compare incidences of complications following implantation of osseointegrated bone conduction devices (OBCD) between children with and without behavioral disorders.
Study Design:
Case series with chart review.
Setting:
Tertiary referral center otology and neurotology practice.
Patients:
Pediatric patients who underwent implantation of OBCD between May 2009 and July 2014 at Arkansas Children's Hospital.
Interventions:
Implantation with Cochlear BAHA 200 series, Cochlear BAHA BI300, or Oticon OBCD.
Main Outcome Measures:
Osseointegration failure (OIF) with resulting loss of flange-fixture and/or skin and soft tissue reactions.
Results:
The total rate of complications was 66.2%, with the majority being minor complications (39.4%). There was no difference in the total rate of complication (p = 0.461), minor complications (p = 0.443), major complications (p = 0.777), and minor and major complications (p = 0.762) between the control group and children with behavioral disorders.
Conclusion:
Behavior was not observed to influence the incidence of OIF or skin/soft tissue reactions after implantation of OBCD in pediatric patients.
