Barbara Maurizio, Covelli Edoardo, Filippi Chiara, Margani Valerio, De Luca Alessandra, Monini Simonetta
a NESMOS Department, ENT Clinic , Sapienza University , Rome , Italy.
Acta Otolaryngol. 2019 Apr;139(4):379-382. doi: 10.1080/00016489.2019.1592220. Epub 2019 Apr 5.
The bone conductive implants (BCI) are nowadays a reliable alternative for rehabilitation of specific forms of hearing loss, i.e. conductive, mixed or single sided deafness (SSD). Aims/Objective: To analyse the various factors in play when considering an auditory rehabilitation with a bone-conductive device (BCI).
The clinical charts of subjects who underwent BCI application at the same Implanting Center from 2005 to 2018 were retrieved analysing also the reason for eventual explantation and the alternative option (transition) for hearing rehabilitation.
Nine BAHA Compact, 4 BAHA Intenso, 21 BAHA Divino, 3 BAHA BP100, 4 Ponto, 2 Sophono, 5 Bonebridge, 5 BAHA5 Attract; 11 BAHA5 Connect were used in 12 unilateral COM; 16 bilateral COM; 3 unilateral cholesteatoma; 6 bilateral cholesteatoma; 2 unilateral otosclerosis; 5 bilateral otosclerosis; 9 congenital malformations; 6 major otoneurosurgical procedures; 5 sudden deafness. Explantation was necessary for five subjects.
Middle ear pathology and sequels from surgery represent the most common reason for BCI implantation, both in unilateral and in bilateral cases. Transition from one implantable device to another one can be predictable, mostly when explantation is necessary.
The role of BCI for rehabilitation in middle ear pathology may be extremely important.
骨传导植入物（BCI）如今是特定形式听力损失（即传导性、混合性或单侧耳聋（SSD））康复的可靠替代方案。目的：分析考虑使用骨传导装置（BCI）进行听觉康复时的各种影响因素。
检索了2005年至2018年在同一植入中心接受BCI植入的受试者的临床病历，同时分析了最终取出植入物的原因以及听力康复的替代方案（转换）。
在12例单侧慢性中耳炎（COM）、16例双侧COM、3例单侧胆脂瘤、6例双侧胆脂瘤、2例单侧耳硬化症、5例双侧耳硬化症、9例先天性畸形、6例重大耳神经外科手术、5例突发性耳聋患者中使用了9个BAHA Compact、4个BAHA Intenso、21个BAHA Divino、3个BAHA BP100、4个Ponto、2个Sophono、5个Bonebridge、5个BAHA5 Attract、11个BAHA5 Connect。5名受试者需要取出植入物。
中耳病变和手术后遗症是BCI植入最常见的原因，无论是单侧还是双侧病例。从一种可植入装置转换到另一种装置在大多数需要取出植入物的情况下是可预测的。
BCI在中耳病变康复中的作用可能极其重要。
