A new transcutaneous bone anchored hearing device - the Baha® Attract System: the first experience in Turkey

Yıl 2014, Cilt: 24 Sayı: 2, 59 - 64, 20.04.2014

Mete İşeri Kadir Serkan Orhan Ahmet Kara Merve Durgut Murat Öztürk Murat Topdağ Sebla Çalışkan

Öz

Objectives: In this study, we reported our experience with a new transcutaneous bone conduction hearing device, the Baha® Attract System. Patients and Methods: This multi-center clinical study included the first 12 patients 8 females, 4 males; mean age 27.6 years; range 5 to 65 years in whom a new transcutaneous bone conduction system was implanted in Turkey. Results: The mean air-bone gap was 41 dB. Bone smoothing around the implant was needed in five patients. We placed a sound processor in the fourth postoperative week for all patients. Conclusion: Our study results suggest that the new bone conduction implant is promising for the patients with conductive or mixed hearing loss who are unable to wear conventional air conduction hearing aid and comparable to percutaneous systems.

Anahtar Kelimeler

Baha, implantation, magnet, transcutaneous

İşitme cihazına bağlanmış yeni transkütanöz kemik - Baha® Attract Sistemi: Türkiye’de ilk deneyim

Öz

Amaç: Bu çalışmada yeni bir transkütan kemik iletimli işitme cihazı Baha® Attract Sistemine ilişkin deneyimlerimiz sunuldu.Hastalar ve Yöntemler: Bu çok merkezli klinik çalışmaya Türkiye’de yeni bir transkütan kemik iletimli cihazı implante edilen ilk 12 hasta 8 kadın, 4 erkek; ort. yaş 27.6 yıl; dağılım 5-65 yıl dahil edildi. Bulgular: Ortalama hava-kemik yolu farkı 41 dB idi. Beş hastada implant çevresinde kemik düzeltme işlemi gerekti. Ses işlemcileri tüm hastalara ameliyat sonrası dördüncü haftada yerleştirildi.Sonuç: Çalışma bulgularımız, yeni kemik iletimli implantın konvansiyonel hava-yolu işitme cihazı kullanamayan iletim veya mikst tip işitme kayıplı hastalar için ümit verici ve perkütan sistemler ile kıyaslanabilir olduğunu göstermektedir

Anahtar Kelimeler

Baha, implantasyon, magnet, transkütan

Kaynakça

• Tjellström A, Granström G. Long-term follow-up with the bone-anchored hearing aid: a review of the first 100 patients between 1977 and 1985. Ear Nose Throat J 1994;73:112-4.
• Mudry A, Tjellström A. Historical background of bone conduction hearing devices and bone conduction hearing aids. Adv Otorhinolaryngol 2011;71:1-9.
• Foyt KM, Roberts J. Low Cost Osseointegrated Implant System for Developing Countries. International Journal of Otolaryngology and Head & Neck Surgery 2013;2:186-191.
• Pai I, Kelleher C, Nunn T, Pathak N, Jindal M, O’Connor AF, et al. Outcome of bone-anchored hearing aids for single-sided deafness: a prospective study. Acta Otolaryngol 2012;132:751-5.
• de Wolf MJ, Hendrix S, Cremers CW, Snik AF. Better performance with bone-anchored hearing aid than acoustic devices in patients with severe air-bone gap. Laryngoscope 2011;121:613-6.
• Holgers KM, Tjellström A, Bjursten LM, Erlandsson BE. Soft tissue reactions around percutaneous implants: a clinical study of soft tissue conditions around skin-penetrating titanium implants for bone-anchored hearing aids. Am J Otol 1988;9:56-9.
• House JW, Kutz JW Jr. Bone-anchored hearing aids: incidence and management of postoperative complications. Otol Neurotol 2007;28:213-7.
• Denoyelle F, Leboulanger N, Coudert C, Mazzaschi O, Loundon N, Vicaut E, et al. New closed skin bone-anchored implant: preliminary results in 6 children with ear atresia. Otol Neurotol 2013;34:275-81.
• Barbara M, Perotti M, Gioia B, Volpini L, Monini S. Transcutaneous bone-conduction hearing device: audiological and surgical aspects in a first series of patients with mixed hearing loss. Acta Otolaryngol 2013;133:1058-64.
• Huber AM, Sim JH, Xie YZ, Chatzimichalis M, Ullrich O, Röösli C. The Bonebridge: preclinical evaluation of a new transcutaneously-activated bone anchored hearing device. Hear Res 2013;301:93-9.