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Z-plasty for skin complications of bone-anchored hearing aid implantation

Published online by Cambridge University Press:  15 June 2015

M S Miura  and
M N Rios
M S Miura
Affiliation:
Division of Pediatric Otolaryngology, Hospital da Criança Santo Antonio, Porto Alegre, Brazil Department of Medical Surgery, Universidade Federal de Ciencias da Saúde de Porto Alegre, Rio Grande do Sul, Brazil
M N Rios*
Affiliation:
Department of Medical Surgery, Universidade Federal de Ciencias da Saúde de Porto Alegre, Rio Grande do Sul, Brazil
*
Address for correspondence: Dr Matheus Nardi Rios, Rua Prof Annes Dias, 295 (Centro) 90020-160 Porto Alegre, Rio Grande do Sul, Brazil Fax: +55 (51) 9790 9320 E-mail: [email protected]
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Abstract

Background:

The bone-anchored hearing aid implantation technique is associated with post-operative skin reactions, which require conservative therapy and, in some cases, replacement of the abutment. Z-plasty is a technique that allows resection of the granulation tissue, thus ensuring that disease-free skin will be in contact with the abutment.

Case report:

Use of the Z-plasty technique for resection of the peri-abutment granulation tissue is described. In the case presented herein, the episodes of skin reaction became very frequent and the patient was unable to use his bone-anchored hearing aid for 2 to 3 days a week. We opted for surgical treatment with Z-plasty for management of the skin complications.

Conclusion:

Use of the Z-plasty technique is recommended for the management of skin reactions associated with bone-anchored hearing aid implantation.

Keywords

OtolaryngologyOtologic Surgical ProcedureHearing AidsPostoperative Complications
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 6 , June 2015 , pp. 604 - 606
Copyright
Copyright © JLO (1984) Limited 2015 

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