Transcutaneous Baha Attract system: Long-term outcomes of the French multicenter study.
Clin Otolaryngol
; 43(6): 1553-1559, 2018 12.
Article
em En
| MEDLINE
| ID: mdl-30137669
ABSTRACT
BACKGROUND:
Bone conduction implants based on abutment-driven acoustic transmission result in good hearing outcomes; however, skin complications impact the quality of life (QOL) and possibly the viability of the device for many patients. The transcutaneous magnetic Baha® Attract technology was developed with the goal of minimising skin complications.OBJECTIVES:
To analyse surgical, auditory and QOL outcomes for patients implanted with the Baha® Attract.DESIGN:
Prospective multicentre cohort study.SETTING:
Four French tertiary referral centres.PARTICIPANTS:
Thirty-two patients implanted with the Baha® Attract, including 25 with conductive and mixed hearing loss and 7 with single-sided deafness. MAIN OUTCOMEMEASURES:
Postoperative follow-up involved the visual analysis of soft tissue adaptation and sound processor magnet strength measurement. The audiometric outcomes were evaluated in quiet and noise, and the QOL was assessed using three different questionnaires.RESULTS:
After 12 months of use, soft tissue was thinner, and mean magnet strength was significantly decreased (3.7-3.1, P < 0.05) relative to measures during surgery. The speech recognition threshold in quiet significantly improved compared to unaided situation (73-44 dB HL respectively, P < 0.001) as did functional gain in noise (+2.8). All QOL scores improved, and the APHAB questionnaire score correlated with the audiometric outcomes.CONCLUSIONS:
The Baha® Attract technology results in significant hearing gain and improves QOL. Skin complications were not observed, although surgeons, audiologists and patients should be aware of soft tissue evolution during the first postoperative year. The reversibility of this implant is a major advantage that allows switching to another system if hearing degrades.Palavras-chave
Texto completo:
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Bases de dados:
MEDLINE
Assunto principal:
Próteses e Implantes
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Condução Óssea
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Audição
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Auxiliares de Audição
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Perda Auditiva Condutiva
Tipo de estudo:
Clinical_trials
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Observational_studies
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Prognostic_studies
Limite:
Adolescent
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Adult
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Aged
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Aged80
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Child
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Clin Otolaryngol
Assunto da revista:
OTORRINOLARINGOLOGIA
Ano de publicação:
2018
Tipo de documento:
Article
País de afiliação:
França