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Osseointegrated implants in the management of childhood ear abnormalities: with particular emphasis on complications

Published online by Cambridge University Press:  08 March 2006

Hisham Zeitoun ,
Ranit De ,
Stuart D. Thompson  and
David W. Proops
Hisham Zeitoun
Affiliation:
Department of Otolaryngology, University Hospital Birmingham and the Birmingham Children's Hospital, UK.
Ranit De
Affiliation:
Department of Otolaryngology, University Hospital Birmingham and the Birmingham Children's Hospital, UK.
Stuart D. Thompson
Affiliation:
Department of Otolaryngology, University Hospital Birmingham and the Birmingham Children's Hospital, UK.
David W. Proops
Affiliation:
Department of Otolaryngology, University Hospital Birmingham and the Birmingham Children's Hospital, UK.
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Abstract

Little has been published about the difficulties encountered during the insertion of osseointegrated implants for the attachment of bone anchored hearing aids (BAHA) and auricular prostheses in children. This study examines this issue in the first 51 children implanted at our centre. During surgery, the most common problem encountered was the presence of thin bone resulting in incomplete insertion of fixtures. Five fixtures had failed to integrate and six fixtures were lost in the long-term, however, only five children required revision surgery. The reason why few patients require revision was due to the judicious insertion of ‘sleeper’ fixtures. At follow-up, seven children required counselling for psychological problems. It is apparent from this study that osseointegrated implants in children are associated with difficulties, re-emphasizing that a paediatric osseointegration programme requires significant investment, and should only be undertaken by institutions that are committed to its success.

Keywords

ChildHearing AidsOsseointegrationPost-Operative ComplicationsIntra-Operative Complications
Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 116 , Issue 2 , February 2002 , pp. 87 - 91
Copyright
© Royal Society of Medicine Press Limited 2002

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