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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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