Alshehri Hassan, Alsanosi Abdulrahman, Majdalawieh Osama
Prince Sultan Research Chair for Hearing Disability and Implantable Devices, ENT Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Cochlear AG, Peter Merian-Weg 4, 4052 Basel, Switzerland.
Indian J Otolaryngol Head Neck Surg. 2016 Mar;68(1):80-6. doi: 10.1007/s12070-015-0929-1. Epub 2015 Dec 12.
To describe a new Baha surgical procedure (Modified Punch Technique) with a smaller punch hole, a minimal incision and the use of the hydroxyapatite-coated abutment (BIA400). Retrospective chart review. Patients were implanted between 2012 and 2013 at King Abdulaziz University Hospital (Kingdom of Saudi Arabia). Eligible for initial or replacement bone-anchored hearing system; includes six patients (four adults, two children). Baha surgery using the Punch Method is described. The mean surgical time was 12.33 min (range 6-30), without the single outlier, it was 8.8 min. Bleeding was significant but easily controlled in two patients only. Depending on the postauricular subcutaneous thickness, the sizes of abutment used were 6, 8, 10 or 12 mm. None of the patients experienced severe pain. The postoperative follow-up period was 7 months for one patient, 5 months for three patients, and 3 months for two patients. First report of combined Modified Punch Technique with the BIA400 abutment is minimally invasive, reduces surgical time and results in faster healing and reduced likelihood of postoperative numbness.
描述一种新的骨锚式助听器（Baha）手术方法（改良打孔技术），该方法打孔更小、切口极小，并使用羟基磷灰石涂层基台（BIA400）。回顾性病历审查。患者于2012年至2013年在沙特阿拉伯王国阿卜杜勒阿齐兹国王大学医院植入。符合初次植入或更换骨锚式听力系统的条件；包括6名患者（4名成人，2名儿童）。描述了使用打孔法的Baha手术。平均手术时间为12.33分钟（范围6 - 30分钟），排除唯一的异常值后为8.8分钟。仅2例患者出血明显但易于控制。根据耳后皮下厚度，使用的基台尺寸为6、8、10或12毫米。所有患者均未经历严重疼痛。1例患者术后随访7个月，3例患者随访5个月，2例患者随访3个月。首次报告改良打孔技术与BIA400基台联合使用具有微创性，可缩短手术时间，加快愈合，并降低术后麻木的可能性。
