Tompkins Jared J, Petersen Dana K, Sharbel Daniel D, McKinnon Brian J, MacDonald C Bruce
Department of Otolaryngology - Head & Neck Surgery, The University of Tennessee Health Science Center, Memphis, TN, USA.
Department of Otolaryngology - Head & Neck Surgery, The University of Tennessee Health Science Center, Memphis, TN, USA.
Int J Pediatr Otorhinolaryngol. 2016 Jul;86:87-9. doi: 10.1016/j.ijporl.2016.04.028. Epub 2016 Apr 25.
Implantation of auditory osseointegrated implants, also known as bone-anchored hearing systems (BAHS), represents a surgical option for select pediatric patients aged 5 years or older with hearing loss. Functional indications in this patient population include conductive or mixed hearing loss. Common complications of implantation include skin infections, chronic skin irritation, hypertrophic skin overgrowth, and loose abutments. In a case series of 15 pediatric patients, we discovered an unexpectedly high skin-related complication rate requiring surgical revision of 53%. During revision surgery, we discovered 5 patients who exhibited significant bony overgrowth at the abutment site, a complication infrequently noted in past literature.
植入听觉骨整合植入物，也称为骨锚式听力系统（BAHS），是5岁及以上有听力损失的特定儿科患者的一种手术选择。该患者群体的功能适应症包括传导性或混合性听力损失。植入的常见并发症包括皮肤感染、慢性皮肤刺激、皮肤过度增生和基台松动。在一个15例儿科患者的病例系列中，我们发现皮肤相关并发症的发生率出乎意料地高，需要手术翻修的比例为53%。在翻修手术中，我们发现5例患者在基台部位出现明显的骨质过度生长，这是过去文献中很少提到的一种并发症。
