Five year clinical outcomes and evaluation following implantation of the Oticon™ wide bone anchored hearing system in 47 children. (October 2020)

• Record Type: Journal Article
• Authors: Osborne, Max Sallis; Hoskison, Emma; Child-Hymas, Anne; Gill, Jaspreet; McDermott, Ann-Louise
• Is Part Of: International journal of pediatric otorhinolaryngology. Volume 137(2020:Oct.)
• Publication Date: 2020-10
• Subjects: BAHA -- BAHI -- Bone-anchored hearing -- Implant loss -- Soft tissue reaction -- Wide diameter implant -- Children; Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Oto-rhino-laryngologie -- Périodiques; Pédiatrie -- Périodiques; 618.9209751
• DOI: 10.1016/j.ijporl.2020.110244
• Languages: English
• ISSNs: 0165-5876

Abstract

Abstract: Objectives: The Oticon™ wide implant system was launched in 2009 and used at Birmingham Children's Hospital from 2014. To evaluate clinical outcomes of the Oticon™ wide implant (Oticon Medical), with a focus on skin complication rates and fixture loss over a 5-year period in a tertiary paediatric hospital in the UK. Methods: Retrospective 5-year longitudinal case record review of 47 children who were implanted with the Oticon™ wide implant system at Birmingham Children's Hospital (BCH) between January 2014 and January 2016. Results: 47 children (27 M:20F) were implanted with 70 Oticon wide implants 23 bilateral, 27 unilateral. Mean age at the time of implantation was 9y 6 m. The follow up was for a mean of 5.4 years. Significant soft tissue complications requiring treatment was found in 11% (n = 8) of loaded fixtures, abutment tightening on two patients, abutment exchange 6% (n = 4) and a 10% (n = 7) fixture failure. Conclusion: The Oticon™ wide implant system produces favourable results with regards to peri-abutment skin complications, fixture stability and revision surgery rates when compared to similar cohorts of children studied at Birmingham Children's Hospital.