Baha implant as a hearing solution for single-sided deafness after retrosigmoid approach for the vestibular schwannoma: surgical results
Language English Country Germany Media print-electronic
Document type Journal Article
PubMed
28293782
DOI
10.1007/s00405-017-4505-z
PII: 10.1007/s00405-017-4505-z
Knihovny.cz E-resources
- Keywords
- Baha, Implant stability, Ostell, Resonance frequency analysis, Retroauricular approach, Single-sided deafness, Vestibular schwannoma,
- MeSH
- Prosthesis Implantation methods MeSH
- Hearing Loss, Unilateral * diagnosis etiology surgery MeSH
- Middle Aged MeSH
- Humans MeSH
- Personal Satisfaction MeSH
- Postoperative Complications diagnosis surgery MeSH
- Prosthesis Retention MeSH
- Hearing Aids * MeSH
- Neuroma, Acoustic * pathology surgery MeSH
- Treatment Outcome MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
Skull base tumors and, in particular, vestibular schwannoma (VS) are among the etiological reasons for single-sided deafness (SSD). Patients with SSD have problems in understanding speech in a noisy environment and cannot localize the direction of sounds. Baha is one of the most frequently used systems for SSD compensation. Out of 38 patients with SSD after retrosigmoid removal of VS who underwent testing with Baha softband, 16 were satisfied and were indicated for Baha implantation. Two surgical approaches have been used-the Nijmegen linear incision technique with subdermal thinning (Group I, implant BI300) and fast surgery technique without subdermal thinning (Group II, implant BIA400). The duration of the surgery, the implant stability measured by Ostell, and skin or soft tissue reactions in long range follow-up were evaluated and compared between Group I and II. There was a difference in duration of surgery, in Group II procedures averaged significantly faster (p > 0.001). In both groups, there was a similar trend of the gradual increase of implant stability. In the Group I and II, there was comparable rate of the skin or soft tissue reactions grade 0, I, II, or III. We have proved Baha to be a suitable possibility for SSD patients after the removal of VS, regardless of the approach. After the retrosigmoid approach to the VS, the key step of Baha implantation must be to reach intact healthy bone to avoid implantation into scar tissue.
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J Speech Hear Disord. 1967 Nov;32(4):336-43 PubMed
Otol Neurotol. 2006 Sep;27(6):809-14 PubMed
Am J Otol. 1981 Apr;2(4):304-10 PubMed
Rev Laryngol Otol Rhinol (Bord). 2001;122(5):343-50 PubMed
Acta Otolaryngol. 2008 Nov;128(11):1203-10 PubMed
Int J Pediatr Otorhinolaryngol. 2015 Dec;79(12):2050-5 PubMed
Am J Otolaryngol. 2015 Mar-Apr;36(2):195-9 PubMed
J Laryngol Otol. 1994 Dec;108(12):1031-5 PubMed
Otol Neurotol. 2015 Jun;36(5):826-33 PubMed
Otol Neurotol. 2014 Dec;35(10):e301-6 PubMed
Eur Arch Otorhinolaryngol. 2017 Jan;274(1):133-141 PubMed
Ear Hear. 2011 Feb;32(1):40-5 PubMed
Cesk Neurol Neurochir. 1983 Sep;46(5):287-92 PubMed
Otol Neurotol. 2008 Dec;29(8):1123-31 PubMed
Otol Neurotol. 2013 Aug;34(6):1018-20 PubMed
Otolaryngol Clin North Am. 1992 Jun;25(3):499-520 PubMed
Eur Arch Otorhinolaryngol. 2016 Jul;273(7):1731-7 PubMed
Otol Neurotol. 2015 Sep;36(9):1518-24 PubMed
Biomed Res Int. 2014;2014:315952 PubMed
Acta Otolaryngol. 2003 Jan;123(2):258-60 PubMed
Ann Otol Rhinol Laryngol Suppl. 2005 Dec;195:2-12 PubMed
Acta Otolaryngol Suppl. 1983;400:1-62 PubMed
Otolaryngol Head Neck Surg. 2003 Sep;129(3):248-54 PubMed
Ann Otol Rhinol Laryngol. 2009 Jul;118(7):525-31 PubMed
Eur Arch Otorhinolaryngol. 2013 Mar;270(4):1285-91 PubMed
Clin Oral Implants Res. 1996 Sep;7(3):261-7 PubMed
Eur Arch Otorhinolaryngol. 2017 Jan;274(1):109-117 PubMed
Otol Neurotol. 2011 Aug;32(6):1001-7 PubMed
Otol Neurotol. 2003 Jan;24(1):73-8 PubMed
Eur Arch Otorhinolaryngol. 2016 Jan;273(1):105-11 PubMed
Int J Pediatr Otorhinolaryngol. 2015 Oct;79(10):1667-72 PubMed
Clin Otolaryngol. 2010 Aug;35(4):284-90 PubMed
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