Iseri Mete, Orhan Kadir Serkan, Tuncer Ulku, Kara Ahmet, Durgut Merve, Guldiken Yahya, Surmelioglu Ozgur
*Department of Otorhinolaryngology, Kocaeli University Faculty of Medicine, Kocaeli; †Department of Otorhinolaryngology, Istanbul University Faculty of Medicine, Istanbul; and ‡Department of Otorhinolaryngology, Cukurova University Faculty of Medicine, Adana, Turkey.
Otol Neurotol. 2015 Jun;36(5):849-53. doi: 10.1097/MAO.0000000000000733.
The aim of this study is to compare the clinical audiological outcomes as well as patient satisfaction of bone-anchored, hearing aid surgery between the percutaneous Dermalock and the transcutaneous Attract systems.
This is a multicenter, retrospective clinical study. The patients who underwent Baha Dermalock and Baha Attract surgery were analyzed for hearing results, surgical complications, and postoperative follow-up specifications for both systems. Speech reception thresholds and bone conduction thresholds with and without aided conditions were evaluated. Patient satisfactions were also determined for both groups by Glasgow Benefit Inventory questionnaire.
Both of the groups had some minor complications such as skin irritations around the abutment and skin erythema over the magnet. Both of the groups benefit from the devices audiologically; however, when the groups were compared, better results were observed in the percutaneous, bone-conduction group.
We can confirm that both transcutaneous and percutaneous techniques are effective in the rehabilitation of conductive hearing loss when conventional hearing aids cannot be used. However, both of the systems have some advantages and limitations in terms of audiological and surgical perspectives.
本研究旨在比较经皮Dermalock系统和经皮Attract系统在骨锚式助听器手术中的临床听力学结果以及患者满意度。
这是一项多中心回顾性临床研究。对接受Baha Dermalock和Baha Attract手术的患者进行了两种系统的听力结果、手术并发症及术后随访指标分析。评估了有无辅助条件下的言语接受阈值和骨传导阈值。还通过格拉斯哥效益量表问卷确定了两组患者的满意度。
两组均有一些轻微并发症，如基台周围皮肤刺激和磁体上方皮肤红斑。两组在听力学方面均从这些装置中获益；然而，在比较两组时，经皮骨传导组观察到了更好的结果。
我们可以确认，当无法使用传统助听器时，经皮和经皮技术在传导性听力损失的康复中均有效。然而，从听力学和手术角度来看，这两种系统都有一些优点和局限性。
