A ten-year review of soft tissue reactions around percutaneous titanium implants for auricular prosthesis

Sevasti Tzortzis; Konstantina Tzifa; Theofano Tikka; Steve Worrollo; Joanne Williams; Andrew P Reid; David Proops

doi:10.1002/lary.25211

A ten-year review of soft tissue reactions around percutaneous titanium implants for auricular prosthesis

Sevasti Tzortzis, Konstantina Tzifa, Theofano Tikka, Steve Worrollo, Joanne Williams, Andrew P Reid, David Proops

Speech And Language Therapy

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Abstract

OBJECTIVES/HYPOTHESIS: Soft tissue reactions around abutments are the most common complications of percutaneous osseointegrated implants. The main objective of this study was to review our series of osseointegrated implants, evaluate the degree of adverse skin reactions around the auricular abutments, and compare with skin reactions in the pediatric bone-anchored hearing aid (BAHA) population. The reason for comparing these two groups was the difference in abutment shape and position in skin with different characteristics.

STUDY DESIGN: A retrospective case analysis of 131 patient notes.

METHODS: We retrospectively studied 131 pediatric and adult patients who underwent an osseointegrated auricular prosthesis over a 10-year period (1997-2007).

RESULTS: There were 95 adults and 36 children who had been implanted and fitted with an auricular prosthesis during the 10-year study period. All patients were followed up postoperatively for a 2-year minimum up to a 14-year maximum follow-up. Thirteen (13/36, 36%) children and seven adults (7/95, 7%) had a skin reaction around the ear prosthesis.

CONCLUSIONS: The literature review has supported our study results and has shown that children have higher skin reactions in both BAHA and auricular prostheses than adults. Adverse skin reactions in the pediatric auricular group were significantly lower that the pediatric BAHA group.

LEVEL OF EVIDENCE: 4

Original language	English
Pages (from-to)	1934-1939
Number of pages	6
Journal	The Laryngoscope
Volume	125
Issue number	8
Early online date	22 Jul 2015
DOIs	https://doi.org/10.1002/lary.25211
Publication status	Published - 31 Aug 2015

Keywords

prostheses and implants
ear surgery
soft tissue injuries

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10.1002/lary.25211

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title = "A ten-year review of soft tissue reactions around percutaneous titanium implants for auricular prosthesis",

abstract = "OBJECTIVES/HYPOTHESIS: Soft tissue reactions around abutments are the most common complications of percutaneous osseointegrated implants. The main objective of this study was to review our series of osseointegrated implants, evaluate the degree of adverse skin reactions around the auricular abutments, and compare with skin reactions in the pediatric bone-anchored hearing aid (BAHA) population. The reason for comparing these two groups was the difference in abutment shape and position in skin with different characteristics.STUDY DESIGN: A retrospective case analysis of 131 patient notes.METHODS: We retrospectively studied 131 pediatric and adult patients who underwent an osseointegrated auricular prosthesis over a 10-year period (1997-2007).RESULTS: There were 95 adults and 36 children who had been implanted and fitted with an auricular prosthesis during the 10-year study period. All patients were followed up postoperatively for a 2-year minimum up to a 14-year maximum follow-up. Thirteen (13/36, 36%) children and seven adults (7/95, 7%) had a skin reaction around the ear prosthesis.CONCLUSIONS: The literature review has supported our study results and has shown that children have higher skin reactions in both BAHA and auricular prostheses than adults. Adverse skin reactions in the pediatric auricular group were significantly lower that the pediatric BAHA group.LEVEL OF EVIDENCE: 4",

keywords = "prostheses and implants, ear surgery, soft tissue injuries",

author = "Sevasti Tzortzis and Konstantina Tzifa and Theofano Tikka and Steve Worrollo and Joanne Williams and Reid, {Andrew P} and David Proops",

note = "{\textcopyright} 2015 The American Laryngological, Rhinological and Otological Society, Inc.",

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doi = "10.1002/lary.25211",

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T1 - A ten-year review of soft tissue reactions around percutaneous titanium implants for auricular prosthesis

AU - Tzortzis, Sevasti

AU - Tzifa, Konstantina

AU - Tikka, Theofano

AU - Worrollo, Steve

AU - Williams, Joanne

AU - Reid, Andrew P

AU - Proops, David

PY - 2015/8/31

Y1 - 2015/8/31

N2 - OBJECTIVES/HYPOTHESIS: Soft tissue reactions around abutments are the most common complications of percutaneous osseointegrated implants. The main objective of this study was to review our series of osseointegrated implants, evaluate the degree of adverse skin reactions around the auricular abutments, and compare with skin reactions in the pediatric bone-anchored hearing aid (BAHA) population. The reason for comparing these two groups was the difference in abutment shape and position in skin with different characteristics.STUDY DESIGN: A retrospective case analysis of 131 patient notes.METHODS: We retrospectively studied 131 pediatric and adult patients who underwent an osseointegrated auricular prosthesis over a 10-year period (1997-2007).RESULTS: There were 95 adults and 36 children who had been implanted and fitted with an auricular prosthesis during the 10-year study period. All patients were followed up postoperatively for a 2-year minimum up to a 14-year maximum follow-up. Thirteen (13/36, 36%) children and seven adults (7/95, 7%) had a skin reaction around the ear prosthesis.CONCLUSIONS: The literature review has supported our study results and has shown that children have higher skin reactions in both BAHA and auricular prostheses than adults. Adverse skin reactions in the pediatric auricular group were significantly lower that the pediatric BAHA group.LEVEL OF EVIDENCE: 4

AB - OBJECTIVES/HYPOTHESIS: Soft tissue reactions around abutments are the most common complications of percutaneous osseointegrated implants. The main objective of this study was to review our series of osseointegrated implants, evaluate the degree of adverse skin reactions around the auricular abutments, and compare with skin reactions in the pediatric bone-anchored hearing aid (BAHA) population. The reason for comparing these two groups was the difference in abutment shape and position in skin with different characteristics.STUDY DESIGN: A retrospective case analysis of 131 patient notes.METHODS: We retrospectively studied 131 pediatric and adult patients who underwent an osseointegrated auricular prosthesis over a 10-year period (1997-2007).RESULTS: There were 95 adults and 36 children who had been implanted and fitted with an auricular prosthesis during the 10-year study period. All patients were followed up postoperatively for a 2-year minimum up to a 14-year maximum follow-up. Thirteen (13/36, 36%) children and seven adults (7/95, 7%) had a skin reaction around the ear prosthesis.CONCLUSIONS: The literature review has supported our study results and has shown that children have higher skin reactions in both BAHA and auricular prostheses than adults. Adverse skin reactions in the pediatric auricular group were significantly lower that the pediatric BAHA group.LEVEL OF EVIDENCE: 4

KW - prostheses and implants

KW - ear surgery

KW - soft tissue injuries

U2 - 10.1002/lary.25211

DO - 10.1002/lary.25211

M3 - Article

C2 - 25703159

SN - 0023-852X

VL - 125

SP - 1934

EP - 1939

JO - The Laryngoscope

JF - The Laryngoscope

IS - 8

ER -

A ten-year review of soft tissue reactions around percutaneous titanium implants for auricular prosthesis

Abstract

Keywords

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