Document Detail


High body mass index as a risk factor for skin overgrowth with the bone-anchored hearing aid.
MedLine Citation:
PMID:  20084043     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To identify whether an increased body mass index (BMI) predisposes patients to more soft tissue problems after placement of a Bone-Anchored Hearing Aid implant. PATIENTS: We retrospectively reviewed 88 adult patients who met criteria for inclusion in the study. RESULTS: Ten (11.4%) of the 88 patients had significant soft tissue reaction requiring excision, revision of the skin graft, or placement of a longer abutment (8.5 mm). Of these 10 patients, 4 required placement of a longer abutment, whereas 4 underwent revision skin grafting. All 10 patients had scar excisions in the office. Of the 10 patients, 9 were considered obese with a BMI of 30 lb/in or greater. One patient was considered overweight with a BMI of 28.1 lb/in. The mean BMI for those patients with significant soft tissue reactions was 34.2 lb/in. The mean BMI for patients with no reaction or minor reactions was 27.6 and 27 lb/in, respectively. No patient lost an implant due to soft tissue reaction during the follow-up period. CONCLUSION: Our study demonstrates that after Bone-Anchored Hearing Aid surgery, most patients (78/88, 88.6%) had no soft tissue reaction or had only a mild reaction that was easily treated. However, there are a definite percentage of patients who may develop significant scarring over time. This study identified a significant relationship between obesity (BMI > 30 lb/in) and extensive soft tissue reaction around the implant site.
Authors:
Leonard P Berenholz; John M Burkey; William H Lippy
Related Documents :
1585283 - Clinical observations with paxirasol nasal spray.
8982543 - Effect of facial burns on the nasal mucosa.
8523503 - Thiazide diuretics induce cutaneous lupus-like adverse reaction.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology     Volume:  31     ISSN:  1537-4505     ISO Abbreviation:  Otol. Neurotol.     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-04-14     Completed Date:  2010-07-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100961504     Medline TA:  Otol Neurotol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  430-2     Citation Subset:  IM    
Affiliation:
Lippy Group for Ear, Nose and Throat, 3893 E. Market Street, Warren, OH 44484, U.S.A. info@lippygroup.com
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Body Mass Index
Female
Hearing Aids / adverse effects*
Humans
Male
Middle Aged
Patient Selection
Prosthesis Failure*
Reoperation
Retrospective Studies
Risk Factors
Suture Anchors / adverse effects*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Predictive Model for Improvement of Idiopathic Sudden Sensorineural Hearing Loss.
Next Document:  Radiographic anatomy of the infracochlear approach to the petrous apex for computer-assisted surgery...