Therapeutic algorithm for soft tissue hypertrophy associated with percutaneous bone-anchored hearing implants
DOI:
https://doi.org/10.34631/sporl.1036Keywords:
Osseointegrated implants, BAHA, Skin hypertrophyAbstract
Objectives: The present work aims to make a brief reflection about cutaneous complications of percutaneous bone anchored implants, with special focus on isolated soft tissue hypertrophy, establishing a treatment algorithm.
Study design: This is a retrospective study, in which children who underwent unilateral BAHA, with a minimum follow-up of 5 years and with detailed clinical records, were included. The following data were collected: age, sex, surgical indications, laterality, audiological evaluation, surgical technique and postoperative complications.
Results: Of the 53 children included, 49.1% developed skin complications at some point in the 5 years after the intervention. In 28.3% of the children, peri-implant skin hypertrophy was described, in which the application of the Holgers classification was considered unfeasible. For these cases, treatment algorithm is presented.
Conclusions: Peri-implant skin hypertrophy is one of the most frequently reported complications, so the development of a uniform and standardized therapeutic strategy is essential.
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