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Experience With the New Active Transcutaneous Bone-Conduction Implant With Smaller Dimensions
Faris F Brkic1, Wolf-Dieter Baumgartner1, Melina Schlott1
1Department of Otorhinolaryngology, Head and Neck Surgery, Medical University of Vienna, Vienna, Austria.
Summary
The smaller Bonebridge 602 implant offers good outcomes, but 1-mm lifts are sometimes needed for challenging anatomies. These lifts are safe and effective, not impacting surgical time or audiological results.
Area of Science:
- Otorhinolaryngology
- Neurosurgery
- Biomedical Engineering
Background:
- The Bonebridge 602 implant is a smaller device designed for easier implantation, even in complex surgical cases.
- However, extreme anatomical variations may still necessitate the use of implant lifts.
Purpose of the Study:
- To evaluate the medical and audiological outcomes of patients receiving the Bonebridge 602 implant.
- To assess the safety, efficacy, and feasibility of using 1-mm lifts in challenging anatomical situations.
Main Methods:
- A retrospective cohort study was conducted at a tertiary academic center.
- Data from 21 patients implanted with the Bonebridge 602 were analyzed, comparing outcomes with and without 1-mm lifts.
Main Results:
- Satisfactory audiological results were achieved in most patients, with no intra- or postoperative adverse events.
- 1-mm lifts were used in 19% of cases due to anatomical considerations and did not negatively impact surgical time, complications, or audiological outcomes.
Conclusions:
- The Bonebridge 602 implant provides favorable medical and audiological results.
- The use of 1-mm lifts is a safe, effective, and feasible option for addressing extreme anatomical challenges during Bonebridge implantation.

