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Implantation of bone-anchored hearing device using a three-dimensional template in a child

Published online by Cambridge University Press:  21 February 2020

P M Puttasiddaiah ,
H Goodrum  and
S T Browning
P M Puttasiddaiah*
Affiliation:
Department of Otolaryngology, Morriston Hospital, Swansea, Wales, UK
H Goodrum
Affiliation:
Reconstructive Maxillofacial Laboratory, Morriston Hospital, Swansea, Wales, UK
S T Browning
Affiliation:
Department of Otolaryngology, Morriston Hospital, Swansea, Wales, UK
*
Author for correspondence: Mr Paramesh M Puttasiddaiah, Department of Otolaryngology, Morriston Hospital, SwanseaSA6 6NL, Wales, UK E-mail: Paramesh_dr@yahoo.com
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Abstract

Background

Implantation of bone-anchored hearing devices is performed to improve hearing in patients with chronic suppurative otitis media who cannot wear a conventional hearing aid. The surgical procedure can be safely performed in children aged over five years.

Case report

A 15-year-old patient with bilateral chronic suppurative otitis media and conductive hearing loss underwent the procedure to implant a bone-anchored hearing device but was found to have skull thickness of less than 2.5 mm and the procedure was abandoned. A computed tomography scan of the skull was undertaken and a three-dimensional template was reconstructed to identify appropriate thickness of the skull to implant the abutment during a second procedure.

Conclusion

Bone-anchored hearing devices can be implanted by prior imaging and using a template to identify the area of appropriate skull thickness to implant the abutment safely.

Keywords

Conductive Hearing LossBone-Anchored ImplantsIntraoperative Complications
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 134 , Issue 3 , March 2020 , pp. 272 - 274
Copyright
Copyright © JLO (1984) Limited, 2020

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Footnotes

Mr P M Puttasiddaiah takes responsibility for the integrity of the content of the paper

Presented as a poster at the British Academic Conference in Otolaryngology, 4–6 July 2018, Manchester, UK.

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