Abstract
The First Active Transcutaneous Bone Conduction Implant in Romania-Case Report of Permanent Conductive Hearing Loss Due to Cleft Palate
Highlights
Hearing implants employing bone conduction (BC) stimulation have a long tradition and have become a standard care for patients suffering with conductive- or mixed hearing loss who cannot benefit from the conventional hearing aids
Existing percutaneous bone conduction implants (BCI) provide good audiological gain but are associated with a high rate of complications. 67 studies with a total of 6168 subjects were found reporting on safety outcomes of the percutaneous BAHA Connect bone conduction system since 2012 (date of first BONEBRIDGE implantation was used for literature search (Figure 1))
We present the first BONEBRIDGE implantation performed in Bucharest, Romania
Summary
Hearing implants employing bone conduction (BC) stimulation have a long tradition (since 1977) and have become a standard care for patients suffering with conductive- or mixed hearing loss who cannot benefit from the conventional hearing aids. 67 studies with a total of 6168 subjects were found reporting on safety outcomes of the percutaneous BAHA Connect bone conduction system since 2012 (date of first BONEBRIDGE implantation was used for literature search (Figure 1)). For the patient, despite the congenital cleft and nasal septum deviation, otitis media in the right ear was not so severe and the sequelae minor–with small eardrum perforation and mild conductive hearing loss. For this reason, language development of the patient was not affected, and he only opted in adult age for a solution for his left ear hearing loss. Results were similar at the two sessions: the PTA4 resulted in an improvement of 58.8dB (pre-op unaided 68.8; post-op best aided 10dB), with complete closure of the air-bone gap (ABG) on PTA and 100%-word recognition score measured at 65dB SPL using a Romanian language multisyllables-word test in quiet (post-op best-aided condition) (Figure 2 aided condition and Figure 4b)
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