骨锚式助听器（BAHA）植入引起的皮肤反应。
Skin reactions caused by bone-anchored hearing aid (BAHA) implantation.
作者信息
Yin Gen-di, Zeng Xiangli, Li Peng
机构信息
Department of Otorhinolaryngology, Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou 510630, China.
出版信息
J Otol. 2015 Dec;10(4):159-162. doi: 10.1016/j.joto.2016.01.001. Epub 2016 Feb 10.
OBJECTIVE
To report a case of intractable skin reactions caused by bone-anchored hearing aid (BAHA) implantation to improve our understanding and treatment of BAHA implantation-caused skin reactions.
METHODS
We reported a case of severe skin reactions caused by BAHA implantation. Related literature were also reviewed.
RESULTS
We found grade IV skin reactions, including hyperplasia around the implant, which led to the removal of the BAHA implant 10 months after implantation. The findings indicated poor skin hygiene, allergy to titanium and inadequate surgicals skills as the possible causes of the skin reaction.
CONCLUSION
Skin adverse reactions, usually rare in BAHA implantation patients, may cause implant removal and implantation failure. We suggest to further investigate the mechanisms underlying titanium allergy.
目的
报告一例骨锚式助听器（BAHA）植入引起的顽固性皮肤反应病例，以提高我们对BAHA植入引起的皮肤反应的认识和治疗水平。
方法
我们报告了一例由BAHA植入引起的严重皮肤反应病例。同时对相关文献进行了回顾。
结果
我们发现了IV级皮肤反应，包括植入物周围增生，这导致在植入后10个月移除了BAHA植入物。研究结果表明皮肤卫生状况差、对钛过敏以及手术技巧不足可能是皮肤反应的原因。
结论
皮肤不良反应在BAHA植入患者中通常很少见，但可能导致植入物移除和植入失败。我们建议进一步研究钛过敏的潜在机制。
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