Single-stage BAHA implantation in adults and children: Is it safe?
Oral presentation at the 2007 Annual Meeting of the American Otological Society at COSM, San Diego, CA.
Received 18 July 2007; received in revised form 4 December 2007; accepted 17 December 2007.
Objective
Most surgeons perform pediatric bone-anchored hearing aid (BAHA) implantation in two stages. This study examined the safety and efficacy of single-stage BAHA implantation in adults and children.
Methods
Retrospective review of 32 ears: 18 pediatric (ages 6 to 13 years) and 14 adult patients who underwent single-stage BAHA surgery between 2002 and 2006.
Results
A total of eight (25%) ears experienced complications. Overall, four (13%) ears required revision in the operating room. In the pediatric group, there were three (16.7%) ears with skin complications; two required operative revision. In the adult group, there were five (36%) ears with skin complications; two required operative revision.
Conclusions
In both adults and children, the single-stage technique for BAHA implantation is safe and efficient. All complications were related to skin reaction. Safety profiles for 1- and 2-stage surgery are similar, although the single-stage procedure is more cost effective, avoids a second procedure, and provides for earlier hearing rehabilitation.
aDepartment of Otorhinolaryngology–Head and Neck Surgery, New York University School of Medicine, New York, NY
bDepartment of Otorhinolaryngology–Head and Neck Surgery, Lenox Hill Hospital, New York, NY.
Corresponding author: Luc GT Morris, MD, Department of Otorhinolaryngology–Head and Neck Surgery, New York University School of Medicine, 550 First Avenue, NBV 5E5, New York, NY 10016.
ABSTRACT