Ocena wyników zastosowania nowego wspornika systemu Baha® i nowej techniki chirurgicznej bez redukcji tkanki podskórnej
Journal Title: Otolaryngologia Polska - Year 2013, Vol 67, Issue 6
Abstract
The aim of this study is the evaluation of results of using new Baha abutment covered by hydroxyapatite (Baha® BA400, Cochlear Ltd.) which enables new surgical technique without soft tissue reduction. Material and methods: The results of treatment of 9 adult patients were compared with results of 126 patients implanted earlier by standard technique with soft tissue reduction. Results: In analyzed group we find: slight shortening of time of surgery, similar results of implant stability (RFA) before sound processor connection, very good cosmetic results in 6 patients, some soft tissue overhanging in 2 and retraction pocket formation and inflammation (Holgers 2) in 1, no numbness and pain in operated area in all operated. Conclusions: New Baha abutment covered by hydroxyapatite (Baha® BA400) enables to safely use new surgical technique without soft tissue reduction. In authors' opinion the most important benefit from this technique is limited bleeding during operation, reduction of using of coagulation and less risk of lesion of nerves and numbness or pain after operation. This technique required less time, but the need of measuring of soft tissue and choosing of proper abutment cause longer preoperative time, so the time of all procedure is only slightly shorter. The esthetic results and healing process confirm the advantage of technique without soft tissue reduction over standard technique. However in patients with a thick soft tissue there is a risk of soft tissue overhanging, so in such cases it is better to make a partial soft tissue reduction.
Authors and Affiliations
Wojciech Gawęcki, Maciej Wróbel, Łukasz Borucki, Witold Szyfter
Keywords
Related Articles
- EP ID EP52470
- DOI -
- Views 137
- Downloads 0
Cechy kliniczne i patologiczne przewlekłego zapalenia ucha z perlakiem u małych dzieci
SUMMARY Introduction: Children cholesteatoma have been shown to demonstrate aggressive growth with greater extension and higher rates residual and recurrent disease compared with adults, due to anatomic and physiologic d...
Ocena wyników leczenia przewlekłych przerostowych zapaleń krtani na podstawie badania wideolaryngostroboskopowego
Introduction. This work aimed at assessing effects of surgical treatment and post-operative rehabilitation of chronic hypertrophic laryngitis by videolaryngostroboscopy and the GRBAS scale. Material and methods. The exam...
Przyczyny zwężeń krtaniowo-tchawiczych na podstawie przeglądu literatury i doświadczeń własnych
Laryngo-tracheal stenosis (LTS) is a relatively rare disease, caused usually by iatrogenic reasons (intubation, tracheotomy, radiotherapy and surgery of the larynx and trachea) or by trauma. However they may be caused by...
Rozsiane zmiany kostniejące jako przyczyna duszności i zaburzeń połykania
Diffuse Idiopathic Skeletal Hyperostosis (DISH) is a condition characterized by calcifi cation and ossifi cation of soft tissues, mainly ligaments and enthesis. Dysphagia is the commonest complaint, stridor secondary to...
The methodology of measurements of ossicular chain movability during tympanoplasty using Laser Doppler Vibrometry
SUMMARY Introduction: Laser Doppler wibrometry can potentially be applied in the measurement of the acoustic conductivity of the middle ear during tympanoplasty. Its usefulness in estimating the accuracy of ossiculoplast...