Long-Term Results of the Linear Incision Technique With Tissue Reduction Versus Tissue Preservation for Inserting Bone-Anchored Hearing Implants: The Ongoing Optimization in Bone Implant Surgery

Jantine J. Lindeboom; Nilou Labbé; Ruben M. Strijbos; Marjo van den Elsen-Hutten; Wim van Huffelen; Emma M. Teunissen; Myrthe K.S. Hol; Steven J.H. Bom

doi:10.1097/MAO.0000000000004101

Long-Term Results of the Linear Incision Technique With Tissue Reduction Versus Tissue Preservation for Inserting Bone-Anchored Hearing Implants: The Ongoing Optimization in Bone Implant Surgery

Jantine J. Lindeboom^*, Nilou Labbé, Ruben M. Strijbos, Marjo van den Elsen-Hutten, Wim van Huffelen, Emma M. Teunissen, Myrthe K.S. Hol, Steven J.H. Bom

^*Corresponding author voor dit werk

Perceptual and Cognitive Neuroscience (PCN)

Onderzoeksoutput › Academic › peer review

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Objective: To compare the long-term outcomes of the linear incision technique with tissue reduction (LIT-TR) and the linear incision technique with tissue preservation (LIT-TP) for inserting bone-anchored hearing implants (BAHIs).

Study design: Single-center retrospective cohort study.

Setting: Large general teaching hospital.

Patients: A total of 231 adult patients were included between August 2005 and October 2020, with a minimum follow-up time of 6 months.

Intervention: The test group received a BAHI using the LIT-TP (N = 147). The control group underwent surgery using the LIT-TR (N = 84).

Main outcome measures: Soft tissue reactions, skin thickening, postoperative complications (e.g., wound dehiscence), and implant loss were compared between the test and control group. Furthermore, Cochlear Bone Anchored Solutions AB (Mölnlycke, Sweden) and Oticon Medical AB (Askim, Sweden) implants/ abutments within the LIT-TP cohort were compared. Validated questionnaires were used to quantify patients' health-related quality of life (HRQoL).

Results: Significantly more cases with wound dehiscence and adverse soft tissue reactions (Holgers ≥2) were observed in the LIT-TR cohort (p < 0.001). However, the LIT-TP cohort showed significantly more cases with skin thickening (requiring treatment) within the first 2 years after implantation. There were no differences in implant loss rates, overall soft tissue reactions (Holgers >1), and overall HRQoL between the two patient groups. Significant improvement in the patients' HRQoL after implementation of a BAHI was found in both techniques. The Ponto Wide implant/abutment showed less frequent skin thickening (requiring treatment) and fewer soft tissue reactions compared with the BIA400 implant/ abutment.

Conclusion: This large-scale study demonstrates that the LIT-TP shows excellent long-term outcomes, including a low incidence of implant failure.

Originele taal-2	English
Pagina's (van-tot)	285-294
Aantal pagina's	10
Tijdschrift	Otology and Neurotology
Volume	45
Nummer van het tijdschrift	3
DOI's	https://doi.org/10.1097/MAO.0000000000004101
Status	Published - 1-mrt.-2024

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Lindeboom, J. J., Labbé, N., Strijbos, R. M., van den Elsen-Hutten, M., van Huffelen, W., Teunissen, E. M., Hol, M. K. S., & Bom, S. J. H. (2024). Long-Term Results of the Linear Incision Technique With Tissue Reduction Versus Tissue Preservation for Inserting Bone-Anchored Hearing Implants: The Ongoing Optimization in Bone Implant Surgery. Otology and Neurotology, 45(3), 285-294. https://doi.org/10.1097/MAO.0000000000004101

@article{79e38ff383444d039f64c709dd4b22ac,

title = "Long-Term Results of the Linear Incision Technique With Tissue Reduction Versus Tissue Preservation for Inserting Bone-Anchored Hearing Implants: The Ongoing Optimization in Bone Implant Surgery",

abstract = "Objective: To compare the long-term outcomes of the linear incision technique with tissue reduction (LIT-TR) and the linear incision technique with tissue preservation (LIT-TP) for inserting bone-anchored hearing implants (BAHIs).Study design: Single-center retrospective cohort study.Setting: Large general teaching hospital.Patients: A total of 231 adult patients were included between August 2005 and October 2020, with a minimum follow-up time of 6 months.Intervention: The test group received a BAHI using the LIT-TP (N = 147). The control group underwent surgery using the LIT-TR (N = 84).Main outcome measures: Soft tissue reactions, skin thickening, postoperative complications (e.g., wound dehiscence), and implant loss were compared between the test and control group. Furthermore, Cochlear Bone Anchored Solutions AB (M{\"o}lnlycke, Sweden) and Oticon Medical AB (Askim, Sweden) implants/ abutments within the LIT-TP cohort were compared. Validated questionnaires were used to quantify patients' health-related quality of life (HRQoL).Results: Significantly more cases with wound dehiscence and adverse soft tissue reactions (Holgers ≥2) were observed in the LIT-TR cohort (p < 0.001). However, the LIT-TP cohort showed significantly more cases with skin thickening (requiring treatment) within the first 2 years after implantation. There were no differences in implant loss rates, overall soft tissue reactions (Holgers >1), and overall HRQoL between the two patient groups. Significant improvement in the patients' HRQoL after implementation of a BAHI was found in both techniques. The Ponto Wide implant/abutment showed less frequent skin thickening (requiring treatment) and fewer soft tissue reactions compared with the BIA400 implant/ abutment.Conclusion: This large-scale study demonstrates that the LIT-TP shows excellent long-term outcomes, including a low incidence of implant failure.",

keywords = "anchored hearing implant, BAHI, BIA400, Bone, Hearing loss, HRQoL, Linear incision technique, Oticon wide, Skin thickening, Soft tissue reactions, Surgical technique, Tissue preservation, Tissue reduction",

author = "Lindeboom, {Jantine J.} and Nilou Labb{\'e} and Strijbos, {Ruben M.} and {van den Elsen-Hutten}, Marjo and {van Huffelen}, Wim and Teunissen, {Emma M.} and Hol, {Myrthe K.S.} and Bom, {Steven J.H.}",

note = "Publisher Copyright: {\textcopyright} 2024, Otology & Neurotology, Inc.",

year = "2024",

month = mar,

day = "1",

doi = "10.1097/MAO.0000000000004101",

language = "English",

volume = "45",

pages = "285--294",

journal = "Otology and Neurotology",

issn = "1531-7129",

publisher = "Lippincott Williams and Wilkins",

number = "3",

}

Lindeboom, JJ, Labbé, N, Strijbos, RM, van den Elsen-Hutten, M, van Huffelen, W, Teunissen, EM , Hol, MKS & Bom, SJH 2024, 'Long-Term Results of the Linear Incision Technique With Tissue Reduction Versus Tissue Preservation for Inserting Bone-Anchored Hearing Implants: The Ongoing Optimization in Bone Implant Surgery', Otology and Neurotology, vol. 45, nr. 3, blz. 285-294. https://doi.org/10.1097/MAO.0000000000004101

Long-Term Results of the Linear Incision Technique With Tissue Reduction Versus Tissue Preservation for Inserting Bone-Anchored Hearing Implants: The Ongoing Optimization in Bone Implant Surgery. / Lindeboom, Jantine J.; Labbé, Nilou; Strijbos, Ruben M. et al.
In: Otology and Neurotology, Vol. 45, Nr. 3, 01.03.2024, blz. 285-294.

Onderzoeksoutput › Academic › peer review

TY - JOUR

T1 - Long-Term Results of the Linear Incision Technique With Tissue Reduction Versus Tissue Preservation for Inserting Bone-Anchored Hearing Implants

T2 - The Ongoing Optimization in Bone Implant Surgery

AU - Lindeboom, Jantine J.

AU - Labbé, Nilou

AU - Strijbos, Ruben M.

AU - van den Elsen-Hutten, Marjo

AU - van Huffelen, Wim

AU - Teunissen, Emma M.

AU - Hol, Myrthe K.S.

AU - Bom, Steven J.H.

PY - 2024/3/1

Y1 - 2024/3/1

N2 - Objective: To compare the long-term outcomes of the linear incision technique with tissue reduction (LIT-TR) and the linear incision technique with tissue preservation (LIT-TP) for inserting bone-anchored hearing implants (BAHIs).Study design: Single-center retrospective cohort study.Setting: Large general teaching hospital.Patients: A total of 231 adult patients were included between August 2005 and October 2020, with a minimum follow-up time of 6 months.Intervention: The test group received a BAHI using the LIT-TP (N = 147). The control group underwent surgery using the LIT-TR (N = 84).Main outcome measures: Soft tissue reactions, skin thickening, postoperative complications (e.g., wound dehiscence), and implant loss were compared between the test and control group. Furthermore, Cochlear Bone Anchored Solutions AB (Mölnlycke, Sweden) and Oticon Medical AB (Askim, Sweden) implants/ abutments within the LIT-TP cohort were compared. Validated questionnaires were used to quantify patients' health-related quality of life (HRQoL).Results: Significantly more cases with wound dehiscence and adverse soft tissue reactions (Holgers ≥2) were observed in the LIT-TR cohort (p < 0.001). However, the LIT-TP cohort showed significantly more cases with skin thickening (requiring treatment) within the first 2 years after implantation. There were no differences in implant loss rates, overall soft tissue reactions (Holgers >1), and overall HRQoL between the two patient groups. Significant improvement in the patients' HRQoL after implementation of a BAHI was found in both techniques. The Ponto Wide implant/abutment showed less frequent skin thickening (requiring treatment) and fewer soft tissue reactions compared with the BIA400 implant/ abutment.Conclusion: This large-scale study demonstrates that the LIT-TP shows excellent long-term outcomes, including a low incidence of implant failure.

AB - Objective: To compare the long-term outcomes of the linear incision technique with tissue reduction (LIT-TR) and the linear incision technique with tissue preservation (LIT-TP) for inserting bone-anchored hearing implants (BAHIs).Study design: Single-center retrospective cohort study.Setting: Large general teaching hospital.Patients: A total of 231 adult patients were included between August 2005 and October 2020, with a minimum follow-up time of 6 months.Intervention: The test group received a BAHI using the LIT-TP (N = 147). The control group underwent surgery using the LIT-TR (N = 84).Main outcome measures: Soft tissue reactions, skin thickening, postoperative complications (e.g., wound dehiscence), and implant loss were compared between the test and control group. Furthermore, Cochlear Bone Anchored Solutions AB (Mölnlycke, Sweden) and Oticon Medical AB (Askim, Sweden) implants/ abutments within the LIT-TP cohort were compared. Validated questionnaires were used to quantify patients' health-related quality of life (HRQoL).Results: Significantly more cases with wound dehiscence and adverse soft tissue reactions (Holgers ≥2) were observed in the LIT-TR cohort (p < 0.001). However, the LIT-TP cohort showed significantly more cases with skin thickening (requiring treatment) within the first 2 years after implantation. There were no differences in implant loss rates, overall soft tissue reactions (Holgers >1), and overall HRQoL between the two patient groups. Significant improvement in the patients' HRQoL after implementation of a BAHI was found in both techniques. The Ponto Wide implant/abutment showed less frequent skin thickening (requiring treatment) and fewer soft tissue reactions compared with the BIA400 implant/ abutment.Conclusion: This large-scale study demonstrates that the LIT-TP shows excellent long-term outcomes, including a low incidence of implant failure.

KW - anchored hearing implant

KW - BAHI

KW - BIA400

KW - Bone

KW - Hearing loss

KW - HRQoL

KW - Linear incision technique

KW - Oticon wide

KW - Skin thickening

KW - Soft tissue reactions

KW - Surgical technique

KW - Tissue preservation

KW - Tissue reduction

UR - http://www.scopus.com/inward/record.url?scp=85185234572&partnerID=8YFLogxK

U2 - 10.1097/MAO.0000000000004101

DO - 10.1097/MAO.0000000000004101

M3 - Article

C2 - 38361296

AN - SCOPUS:85185234572

SN - 1531-7129

VL - 45

SP - 285

EP - 294

JO - Otology and Neurotology

JF - Otology and Neurotology

IS - 3

ER -

Lindeboom JJ, Labbé N, Strijbos RM, van den Elsen-Hutten M, van Huffelen W, Teunissen EM et al. Long-Term Results of the Linear Incision Technique With Tissue Reduction Versus Tissue Preservation for Inserting Bone-Anchored Hearing Implants: The Ongoing Optimization in Bone Implant Surgery. Otology and Neurotology. 2024 mrt. 1;45(3):285-294. doi: 10.1097/MAO.0000000000004101

Long-Term Results of the Linear Incision Technique With Tissue Reduction Versus Tissue Preservation for Inserting Bone-Anchored Hearing Implants: The Ongoing Optimization in Bone Implant Surgery

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