Comparison between linear incision and punch techniques for bone anchored hearing aid surgery

xlomafota13 shared this article with you from Inoreader Comparison between linear incision and punch techniques for bone anchored hearing aid surgery Via Acta Otorhinolaryngol Ital Acta Otorhinolaryngol Ital. 2021 Oct;41(5):474-480. doi: 10.14639/0392-100X-N1048. ABSTRACT OBJECTIVES: To evaluate mean surgical time, incidence of soft tissue reactions, implant survival and intraoperative complications in both minimally invasive ponto surgery (MIPS) and the linear incision with tissue preservation technique (LT). METHODS: A retrospective review was carried out on 48 bone anchored hearing system (BAHS) patients between 2014 and 2019: 13 patients had undergone LT and formed one group, while 35 patients had undergone MIPS and formed the second group. Mean surgical time, intraoperative complications, implant loss and skin reaction were assessed at each post-operative examination. The Mann-Whitney U test was used for statistical analysis. RESULTS: The difference in the mean surgical time of 15 mins for MIPS and 36 mins for LT was statistically significant. No intraoperative complications were reported and implant survival was 100% in both groups. The incidence of adverse skin reactions was 7.7% for the LT group and 0% for the MIPS group at first follow-up examination. CONCLUSIONS: Surgical mean time is shorter for MIPS, making this procedure more suitable for local anaesthesia and more cost effective. Moreover, both LT and MIPS demonstrate good surgical outcomes in terms of skin reactions according to Holgers score and equally excellent implant survival. PMID:34734584 | DOI:10.14639/0392-100X-N1048 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.