Therapeutic algorithm for soft tissue hypertrophy associated with percutaneous bone-anchored hearing implants

• Autor(a) principal: Costa, Joana Raquel
• Data de Publicação: 2022
• Outros Autores: Costa, Sara, Costa, Teresa, Coutinho, Miguel, Meireles, Luís
• Tipo de documento: Artigo
• Idioma: por; eng
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: https://doi.org/10.34631/sporl.1036
• topic: BAHA; Implantes osteointegrados; Hipertrofia cutânea; Osseointegrated implants; BAHA; Skin hypertrophy

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.