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Unusual complication following trauma to a bone-anchored hearing aid: case report and literature review

Published online by Cambridge University Press:  23 May 2008

A-L McDermott ,
J Barraclough  and
A P Reid
A-L McDermott*
Affiliation:
Department of Otolaryngology, The Princess of Wales Children's Hospital, Birmingham, UK
J Barraclough
Affiliation:
Department of Otolaryngology, The Princess of Wales Children's Hospital, Birmingham, UK
A P Reid
Affiliation:
Department of Otolaryngology, The Princess of Wales Children's Hospital, Birmingham, UK
*
Address for correspondence: Miss Ann-Louise McDermott, Department of Otolaryngology, The Princess of Wales Children's Hospital, Steelhouse Lane, Birmingham B4 6NH, UK. E-mail: [email protected]
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Abstract

Objective:

We report the second published case of a child with a serious traumatic injury involving the fixture and abutment of their bone-anchored hearing aid.

Method:

Case reports and review of the world literature concerning unusual complications following trauma to bone-anchored hearing aids.

Results:

A nine-year-old girl with Dubowitz syndrome sustained an intrusion injury of her bone-anchored hearing aid fixture and abutment following a fall. No other injury was sustained, and there was no neurological complication. The patient underwent immediate removal of the implant and subsequently made a full recovery. Such serious and unusual complications are fortunately very rare. On review of the literature, four cases of similar complications were identified. Only one involved a traumatic injury in a child.

Conclusion:

Provision of bone-anchored hearing aids involves many clinicians. All clinicians involved in this procedure must be aware of the need to monitor their patients carefully, and to remember that unusual and unexpected complications, although rare, do happen. The patient's need for care continues long after the surgery is complete.

Keywords

Hearing AidsImplants and ProsthesesTraumaComplications
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 3 , March 2009 , pp. 348 - 350
Copyright
Copyright © JLO (1984) Limited 2008

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References

1 Tietze, L, Papsin, B. Utilization of bone-anchored hearing aids in children. Int J Pediatric Otorhinolaryngol 2001;58:75–80CrossRefGoogle ScholarPubMed
2 Mylanus, EAM, Snik, AFM, Cremers, CWRJ. Patients' opinions of bone-anchored vs conventional hearing aids. Arch Otolaryngol Head Neck Surg. 1995;121:421–5CrossRefGoogle ScholarPubMed
3 Dutt, SN, McDermott, AL, Jelbert, A, Reid, AP, Proops, DW. The Glasgow Benefit Inventory in the evaluation of patient satisfaction with the bone-anchored hearing aid: quality of life issues. J Laryngol Otol 2002;28 (suppl 28):7–14CrossRefGoogle Scholar
4 Hol, MKS, Spath, MA, Krabbe, PFM, van der Pouw, CTM, Snik, AFM, Cremers, CWRJ et al. Arch Otolaryngol Head Neck Surg 2004;130:394–9CrossRefGoogle Scholar
5 Gillett, D, Fairley, JW, Chandrashake, RTS, Bean, A, Gonzalez, J. Bone-anchored hearing aids: results of the first eight years of a programme in a district general hospital, assessed by the Glasgow Benefit Inventory. J Laryngol Otol 2006;120:1–6CrossRefGoogle Scholar
6 Granstrom, G. Osseointegrated implants in children. Acta Otolaryngol 2000;543:118–21CrossRefGoogle ScholarPubMed
7 Gorlin, R, Cohen, MM, Hennekan, RCM. Syndromes of the Head and Neck. New York: Oxford University Press, 2001CrossRefGoogle Scholar
8 Gibson, J, Potparic, O. A Dictionary of Medical and Surgical Syndromes. Lancashire: Parthenon, 1992Google Scholar
9 Tjellstrom, A, Lindstrom, J, Hallen, O, Albrektsson, T, Branemark, PI. A five year experience of skin penetrating bone-anchored implants in the temporal bone. Acta Otolaryngol 1983;95:568–75CrossRefGoogle ScholarPubMed
10 Lloyd, S, Almedya, J, Sirimanna, KS, Albert, DM, Bailey, CM. Updated surgical experience with bone anchored hearing aids in children. J Laryngol Otol 2007;121:1–6CrossRefGoogle ScholarPubMed
11 Papsin, BC, Sirimanna, TKS, Albert, DM, Bailey, CM. Surgical experience with bone-anchored hearing aids in children. Laryngoscope 1997;107:801–6CrossRefGoogle ScholarPubMed
12 Seeman, R, Liu, R, Di Toppa, J. Results of pediatric bone-anchored hearing aid implantation. J Otolaryngol 2004;33:71–4CrossRefGoogle Scholar
13 Deitmer, T, Krassort, M, Hartmann, S. Two rare complications in patients with bone anchored hearing aids [in German]. Laryngorhinootologie 2003;82:162–165CrossRefGoogle ScholarPubMed
14 Scholz, M, Eufinger, H, Anders, A, Illerhaus, B, Matthias, K, Schmieder, K et al. Intracerebral abscess after abutment change of a bone anchored hearing aid. Otol Neurotol 2003;24:896–9CrossRefGoogle ScholarPubMed
15 Tjellstrom, A, Niparko, JK. Intracerebral abscess after BAHA abutment change. Otol Neurotol 2005;26:552–3Google ScholarPubMed
16 Tjellstrom, A, Granstrom, G. One stage procedure to establish osseointegration. A zero to five year follow-up report. J Laryngol Otol 1995;109:593–8CrossRefGoogle Scholar
17 Granstrom, 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
18 Hadjihannas, E, McDermott, AL, Warfield, AT, Proops, DW, Reid, AP. Occult bronchogenic carcinoma presenting as metastasis to the site of a bone anchored hearing aid. J Laryngol Otol 2003;117:396–8CrossRefGoogle Scholar