| High body mass index as a risk factor for skin overgrowth with the bone-anchored hearing aid. | |
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MedLine Citation:
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PMID: 20084043 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Leonard P Berenholz; John M Burkey; William H Lippy |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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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:
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Created Date: 2010-04-14 Completed Date: 2010-07-09 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100961504 Medline TA: Otol Neurotol Country: United States |
Other Details:
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Languages: eng Pagination: 430-2 Citation Subset: IM |
Affiliation:
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Lippy Group for Ear, Nose and Throat, 3893 E. Market Street, Warren, OH 44484, U.S.A. info@lippygroup.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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
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