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Hearing Rehabilitation Implementing a Transcutaneous Bone Conduction Device: Single-Center Experience.
Tom Shokri1, Beth Czarnecki1, Aaron Baker1
1Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, 12310College of Medicine, Pennsylvania State University, Hershey, PA, USA.
Ear, Nose, & Throat Journal
|October 1, 2019
Summary
Transcutaneous bone conduction devices (t-BCDs) offer a solution to soft tissue complications associated with percutaneous implants. This study shows t-BCDs have low complication rates and high patient satisfaction for hearing rehabilitation.
Area of Science:
- Otolaryngology
- Biomedical Engineering
- Audiology
Background:
- Percutaneous bone conduction implants provide hearing rehabilitation but can cause soft tissue complications.
- Transcutaneous bone conduction devices (t-BCDs) offer a potential alternative to mitigate these issues.
Purpose of the Study:
- To evaluate the surgical outcomes and patient satisfaction with transcutaneous bone conduction devices (t-BCDs).
Main Methods:
- A retrospective review of 37 patients implanted with the BAHA Attract t-BCD between 2013 and 2017.
- Surgical outcomes assessed included wound complications, device use, patient concerns, and satisfaction.
Main Results:
- Postoperative complications occurred in 7 (18.9%) patients, primarily soft tissue changes or wound healing issues.
- Device adjustments were requested by 12 (32.4%) patients.
- Average follow-up was 271.8 days.
Conclusions:
- Transcutaneous bone conduction devices (t-BCDs) are a viable option for hearing rehabilitation.
- The devices demonstrate a low complication rate and high patient satisfaction.
- Successful conversion from percutaneous devices to t-BCDs is possible with minimal risk.
