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Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
06:04

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages

Published on: March 24, 2023

847

Clinical outcomes following Cochlear™ BIA300 bone anchored hearing aid implantation in children

Jonathan Mark Fussey1, Emilie Harterink1, Jaspreet Gill2

  • 1Department of ENT Surgery, Birmingham Children's Hospital, UK.

International Journal of Pediatric Otorhinolaryngology
|July 1, 2018
PubMed

Insights

The Cochlear™ BIA300 bone anchored hearing implant (BAHI) showed high rates of soft tissue complications in children. Many required medical or surgical treatment for these adverse events.

Area of Science:

  • Otolaryngology
  • Pediatric Audiology
  • Biomedical Engineering

Background:

  • Bone anchored hearing implants (BAHI) are established treatments for hearing loss in children.
  • The Cochlear™ BIA300 system, introduced in 2010, has been used since 2011 at Birmingham Children's Hospital.
  • Long-term outcomes for pediatric BIA300 recipients are reported.

Purpose of the Study:

  • To evaluate the long-term outcomes of children implanted with the Cochlear™ BIA300 BAHI system.
  • To assess the incidence and nature of complications in pediatric BIA300 recipients.

Main Methods:

  • Retrospective case note analysis of children who received BIA300 implantation between 2011 and 2013.
  • Inclusion of 52 children with a total of 78 implants.
  • Mean follow-up duration of 43.5 months.

Main Results:

  • A high rate of soft tissue complications was observed, affecting 77% (60/78) of implants.
  • Topical treatment was required for 62% (48/78) of implants.
  • Systemic treatment (35%) and surgical revision under general anesthesia (35%) were also frequently necessary.

Conclusions:

  • The Cochlear™ BIA300 system is associated with a higher-than-expected incidence of soft tissue complications in pediatric patients.
  • Both early and late-onset soft tissue reactions requiring medical and surgical intervention were noted.
  • These findings highlight the need for careful monitoring and management of soft tissue complications in children with this BAHI system.
Abstract

Keywords:
BAHABone anchored hearing implantConductive hearing lossOutcomesSoft tissue

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