Department of Otolaryngology-Head and Neck Surgery, University of California-Davis Medical Center, Sacramento, California, USA.
Veterans Affairs Northern California Healthcare System, Sacramento, California, USA.
Otolaryngol Head Neck Surg. 2022 Dec;167(6):959-963. doi: 10.1177/01945998221086841. Epub 2022 Mar 29.
Describe the feasibility and safety of completing bone-anchored hearing implants via the minimally invasive punch technique in the in-office setting.
This single-institution case series included 20 patients who underwent in-office bone-anchored hearing implant placement under local anesthesia from 2018 to 2021.
Veterans Affairs Northern California Healthcare System.
Following completion of the case series, patients were retrospectively surveyed regarding their satisfaction with this approach via a modified SSQ-8 (Surgical Satisfaction Questionnaire) to fit our purposes.
A total of 23 implants were completed in the in-office setting on 20 patients. Intra- and postoperative complication rates, including skin changes, irritation, infection, and poor wound healing, were similar to or better than currently published complication rates in the literature. In addition, patients reported overwhelmingly positive responses on the SSQ-8, almost universally stating that they were "very satisfied" with their clinic experience.
This case series suggests that it is feasible and safe to complete this procedure in the clinic under local anesthesia, but further prospective studies are needed to evaluate this in a more generalized population.
描述在局麻下通过微创打孔技术在诊室环境中完成骨锚定式听力植入的可行性和安全性。
本单中心病例系列纳入了 2018 年至 2021 年间在局麻下接受诊室式骨锚定式听力植入的 20 例患者。
退伍军人事务北加州医疗保健系统。
在完成病例系列后，通过修改后的 SSQ-8（手术满意度问卷）对患者进行回顾性调查，以了解他们对这种方法的满意度，以满足我们的目的。
在 20 名患者中，共有 23 个植入物在诊室环境下完成。包括皮肤变化、刺激、感染和愈合不良在内的术中及术后并发症发生率与文献中目前报道的并发症发生率相似或更低。此外，患者在 SSQ-8 上的反馈非常积极，几乎一致表示对他们的诊所体验“非常满意”。
本病例系列表明，在局麻下于诊室中完成该手术是可行且安全的，但需要进一步的前瞻性研究来评估在更广泛的人群中的效果。
