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Management of repeated trauma to bone-anchored hearing aids in a paediatric patient

Published online by Cambridge University Press:  20 December 2012

E Shamil ,
V Topsakal  and
W Grolman
E Shamil*
Affiliation:
King's College London School of Medicine, Guy's, King's and St Thomas' Hospital, UK
V Topsakal
Affiliation:
Department of Otorhinolaryngology-Head and Neck Surgery, University Medical Center Utrecht, The Netherlands
W Grolman
Affiliation:
Department of Otorhinolaryngology-Head and Neck Surgery, University Medical Center Utrecht, The Netherlands
*
Address for correspondence: Mr Eamon Shamil, King's College London School of Medicine, Guy's Campus, London SE1 1UL, UK E-mail: [email protected]
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Abstract

Objective:

To outline the management options and neurological complications associated with repeated traumatic falls that cause intrusion of bone-anchored hearing aid abutments.

Case report:

A three-year-old boy with coloboma, heart defects, atresia of nasal choanae, retarded growth, genital abnormalities, ear defects and deafness was fitted with a bone-anchored hearing aid for severe conductive hearing loss and congenital ear malformations. Six months later, a traumatic fall caused an intrusion injury which rendered the bone-anchored hearing aid abutment unusable. Without removing the original abutment, a second abutment was inserted on the same side to aid his hearing. Two years later, the child fell again and damaged his second bone-anchored hearing aid abutment. Having been offered a surgical option to repair the area, the parents opted to keep the abutments in situ.

Conclusion:

Direct trauma to the fixture of a bone-anchored hearing aid is a relatively common long-term complication in children which can disrupt osseointegration and disable the implant. For young children who are either prone to falling or have behavioural problems, a bone-anchored hearing aid Softband may be more appropriate to non-invasively aid hearing.

Keywords

Hearing LossTraumaHearing AidsOsseointegrationChildComplication
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 2 , February 2013 , pp. 200 - 202
Copyright
Copyright © JLO (1984) Limited 2012

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References

1Snik, AF, Mylanus, EA, Proops, DW, Wolfaardt, JF, Hodgetts, WE, Somers, T et al. Consensus statements on the BAHA system: where do we stand at present? Ann Otol Rhinol Laryngol Suppl 2005;195:2–12CrossRefGoogle ScholarPubMed
2Tjellstrom, A, Lindstrom, J, Hallen, O, Albrektsson, T, Branemark, PI. Osseointegrated titanium implants in the temporal bone. A clinical study on bone-anchored hearing aids. Am J Otol 1981;2:304–10Google ScholarPubMed
3Dun, CA, de Wolf, MJ, Hol, MK, Wigren, S, Eeg-Olofsson, M, Green, K et al. Stability, survival, and tolerability of a novel baha implant system: six-month data from a multicenter clinical investigation. Otol Neurotol 2011;32:1001–7CrossRefGoogle ScholarPubMed
4Snik, AF, Bosman, AJ, Mylanus, EA, Cremers, CW. Candidacy for the bone-anchored hearing aid. Audiol Neurootol 2004;9:190–6CrossRefGoogle ScholarPubMed
5Banga, R, Lawrence, R, Reid, A, McDermott, AL. Bone-anchored hearing aids versus conventional hearing aids. Adv Otorhinolaryngol 2011;71:132–9Google ScholarPubMed
6Zeitoun, H, De, R, Thompson, SD, Proops, DW. Osseointegrated implants in the management of childhood ear abnormalities: with particular emphasis on complications. J Laryngol Otol 2002;116:87–91CrossRefGoogle ScholarPubMed
7Stevenson, DS, Proops, DW, Wake, MJ, Deadman, MJ, Worrollo, SJ, Hobson, JA. Osseointegrated implants in the management of childhood ear abnormalities: the initial Birmingham experience. J Laryngol Otol 1993;107:502–9CrossRefGoogle ScholarPubMed
8Wallberg, E, Granstrom, G, Tjellstrom, A, Stalfors, J. Implant survival rate in bone-anchored hearing aid users: long-term results. J Laryngol Otol 2011;125:1131–5CrossRefGoogle ScholarPubMed
9Lloyd, S, Almeyda, J, Sirimanna, KS, Albert, DM, Bailey, CM. Updated surgical experience with bone-anchored hearing aids in children. J Laryngol Otol 2007;121:826–31CrossRefGoogle ScholarPubMed
10Kraai, T, Brown, C, Neeff, M, Fisher, K. Complications of bone-anchored hearing aids in pediatric patients. Int J Pediatr Otorhinolaryngol 2011;75:749–53CrossRefGoogle ScholarPubMed
11Hobson, JC, Roper, AJ, Andrew, R, Rothera, MP, Hill, P, Green, KM. Complications of bone-anchored hearing aid implantation. J Laryngol Otol 2010;124:132–6CrossRefGoogle ScholarPubMed
12McDermott, AL, Barraclough, J, Reid, AP. Unusual complication following trauma to a bone-anchored hearing aid: case report and literature review. J Laryngol Otol 2009;123:348–50CrossRefGoogle ScholarPubMed
13Deitmer, T, Krassort, M, Hartmann, S. Two rare complications in patients with bone-anchored hearing aids [German]. Laryngorhinootologie 2003;82:162–5CrossRefGoogle ScholarPubMed
14Mesfin, FB, Perkins, NW, Brook, C, Foyt, D, German, JW. Epidural hematoma after tympanomastoidectomy and bone-anchored hearing aid (BAHA) placement: case report. Neurosurgery 2010;67:E1451–3, E1453CrossRefGoogle ScholarPubMed
15Granstrom, G, Bergstrom, K, Odersjo, M, Tjellstrom, A. Osseointegrated implants in children: experience from our first 100 patients. Otolaryngol Head Neck Surg 2001;125:85–92CrossRefGoogle ScholarPubMed
16Granstrom, G, Bergstrom, K, Tjellstrom, A. The bone-anchored hearing aid and bone-anchored epithesis for congenital ear malformations. Otolaryngol Head Neck Surg 1993;109:46–53CrossRefGoogle ScholarPubMed
17Edwards, BM, Kileny, PR, Van Riper, LA. CHARGE syndrome: a window of opportunity for audiologic intervention. Pediatrics 2002;110:119–26CrossRefGoogle ScholarPubMed
18Edwards, BM, Van Riper, LA, Kileny, PR. Clinical manifestations of CHARGE association. Int J Pediatr Otorhinolaryngol 1995;33:23–42CrossRefGoogle ScholarPubMed
19Proops, DW. The Birmingham bone anchored hearing aid programme: surgical methods and complications. J Laryngol Otol Suppl 1996;21:7–12CrossRefGoogle ScholarPubMed
20Arndt, S, Laszig, R, Beck, R, Schild, C, Maier, W, Birkenhager, R et al. Spectrum of hearing disorders and their management in children with CHARGE syndrome. Otol Neurotol 2010;31:67–73CrossRefGoogle ScholarPubMed
21Raqbi, F, Le Bihan, C, Morisseau-Durand, MP, Dureau, P, Lyonnet, S, Abadie, V. Early prognostic factors for intellectual outcome in CHARGE syndrome. Dev Med Child Neurol 2003;45:483–8CrossRefGoogle ScholarPubMed
22Verhagen, CV, Hol, MK, Coppens-Schellekens, W, Snik, AF, Cremers, CW. The Baha Softband. A new treatment for young children with bilateral congenital aural atresia. Int J Pediatr Otorhinolaryngol 2008;2:1455–9CrossRefGoogle Scholar