TY - JOUR
T1 - A retrospective evaluation of minimally invasive ponto surgery (MIPS) in two pediatric centers
AU - French, Gabrielle
AU - Lee, Kenneth H.
AU - Yunker, Warren K.
N1 - Publisher Copyright:
© 2021 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2021
Y1 - 2021
N2 - Background: Percutaneous bone anchored hearing systems have been used effectively for over forty years with low rates of complications. Minimally Invasive Ponto Surgery (MIPS) is a surgical technique performed through a puncture hole that has been reported to minimize soft tissue trauma and decrease operative time. Due to it being a relatively new procedure there remains a paucity of pediatric outcomes data. Methods: Pediatric patients from two tertiary pediatric otolaryngology centers between 2016 and 2019 who underwent MIPS were included in this study. Charts were retrospectively reviewed for indications for surgery, implant and abutment type, overlying skin thickness, skin-to-skin time, Holgers score at three, six and twelve months, revision surgery and time to abutment fitting. Results: Fourteen patients, two with bilateral procedures met inclusion criteria (mean age = 8.07 ± 2.87years). The mean overlying skin thickness was 5.13 ± 3.18mm. 9.44% of visits had an adverse skin reactionOne patient required surgery forskin overgrowth. One implant loss (6.3%) was reported, following trauma to the abutment. Mean MIPS skin to skin times were 12.4 ± 2.6 min, markedly different that the Baha® Attract and Connect which were 56 and 53 min, respectively. Conclusion: This study represents the largest pediatric MIPS cohort to date, and our results are similar to published adult studies.
AB - Background: Percutaneous bone anchored hearing systems have been used effectively for over forty years with low rates of complications. Minimally Invasive Ponto Surgery (MIPS) is a surgical technique performed through a puncture hole that has been reported to minimize soft tissue trauma and decrease operative time. Due to it being a relatively new procedure there remains a paucity of pediatric outcomes data. Methods: Pediatric patients from two tertiary pediatric otolaryngology centers between 2016 and 2019 who underwent MIPS were included in this study. Charts were retrospectively reviewed for indications for surgery, implant and abutment type, overlying skin thickness, skin-to-skin time, Holgers score at three, six and twelve months, revision surgery and time to abutment fitting. Results: Fourteen patients, two with bilateral procedures met inclusion criteria (mean age = 8.07 ± 2.87years). The mean overlying skin thickness was 5.13 ± 3.18mm. 9.44% of visits had an adverse skin reactionOne patient required surgery forskin overgrowth. One implant loss (6.3%) was reported, following trauma to the abutment. Mean MIPS skin to skin times were 12.4 ± 2.6 min, markedly different that the Baha® Attract and Connect which were 56 and 53 min, respectively. Conclusion: This study represents the largest pediatric MIPS cohort to date, and our results are similar to published adult studies.
KW - Bone anchored hearing aid
KW - Bone anchored hearing system
KW - Conductive hearing loss
KW - Minimally Invasive Ponto Surgery (Mips)
KW - Outcomes
KW - Pediatric
KW - Pediatric surgery
KW - Single sided deafness (SSD)
KW - Surgery
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U2 - 10.1080/14670100.2021.1903712
DO - 10.1080/14670100.2021.1903712
M3 - Article
C2 - 33784936
AN - SCOPUS:85103369636
SN - 1467-0100
VL - 22
SP - 265
EP - 269
JO - Cochlear Implants International
JF - Cochlear Implants International
IS - 5
ER -