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Frequent failure of percutaneous bone conduction implants in a low-resource setting
M F Bhutta1, T Sokdavy2, T Sokdavy3
1Brighton and Sussex Medical School, UK.
Annals of the Royal College of Surgeons of England
|April 16, 2026
Summary
Outcomes for percutaneous bone conduction implants are poorly documented in low-resource settings. Three of the first five implants in Cambodia failed, suggesting caution is needed for this audiology procedure in similar environments.
Area of Science:
- Otolaryngology
- Audiology
- Medical device outcomes
Background:
- Limited data exist on bone conduction implant outcomes in low-resource settings.
- Percutaneous implants may face higher infection risks in these environments, potentially impacting success rates.
Purpose of the Study:
- To report the outcomes of the initial percutaneous bone conduction implants performed in a low-resource setting (Cambodia).
- To evaluate the suitability of percutaneous bone conduction implants in resource-limited healthcare environments.
Main Methods:
- Retrospective case series of the first five consecutive percutaneous bone conduction implants.
- Procedure performed at a single hospital in Cambodia.
Main Results:
- Three out of five (60%) percutaneous bone conduction implants failed.
- High failure rate led to the discontinuation of the procedure at the center.
Conclusions:
- Percutaneous bone conduction implantation carries significant risks in low-resource settings due to potential complications like infection.
- Further research and data collection are essential before widespread adoption in similar environments. Caution is advised.
