Shirazi Mobeen A, Marzo Sam J, Leonetti John P
Department of Otolaryngology-Head and Neck Surgery, Loyola University Medical Center, Maywood, IL, USA.
Otolaryngol Head Neck Surg. 2006 Feb;134(2):236-9. doi: 10.1016/j.otohns.2005.10.027.
To discuss perioperative complications associated with the bone-anchored hearing aid (BAHA) and their management.
A retrospective review of 58 patients who underwent implantation of BAHA for unilateral conductive, mixed, or sensorineural hearing losses was performed at a tertiary referral center.
Between September 2003 and June 2005, 58 patients underwent implantation of a BAHA. There were 30 female and 28 male patients, with a mean age of 48 years (range 8-80 years). Complications occurred in 19% (11/58) of patients. Most adverse events were seen early in the series. The most common complication, partial or complete loss of the skin graft, occurred in 10% (6/58) of patients. These were managed successfully with local wound care. Five percent (3/58) of patients had skin growth over the abutment. Two of these cases were managed with office debridement, whereas 1 patient required revision under general anesthesia. There was implant extrusion in 3% (2/58) of patients, and both of these patients later underwent successful reimplantation. All patients had their implant activated 3 months after surgery. There were no perioperative or postoperative deaths.
Complications related to BAHA implantation are relatively minor and usually involve partial or complete loss of the skin graft. Most complications were successfully managed in the office.
探讨骨锚式助听器（BAHA）相关的围手术期并发症及其处理方法。
在一家三级转诊中心对58例因单侧传导性、混合性或感音神经性听力损失而接受BAHA植入术的患者进行回顾性研究。
2003年9月至2005年6月期间，58例患者接受了BAHA植入术。其中女性30例，男性28例，平均年龄48岁（8 - 80岁）。19%（11/58）的患者出现并发症。大多数不良事件出现在该系列研究的早期。最常见的并发症是皮瓣部分或完全坏死，发生在10%（6/58）的患者中。通过局部伤口护理成功处理了这些情况。5%（3/58）的患者在基台上出现皮肤增生。其中2例通过门诊清创处理，而1例患者需要在全身麻醉下进行翻修。3%（2/58）的患者出现植入物外露，这2例患者后来均成功进行了再次植入。所有患者在术后3个月激活了植入物。围手术期及术后均无死亡病例。
与BAHA植入相关的并发症相对较少，通常涉及皮瓣部分或完全坏死。大多数并发症在门诊得到了成功处理。
