1. Clinical Evaluation of a Novel Laser-Ablated Titanium Implant System for Bone Anchored Hearing Systems in a Pediatric Population and the Relationship of Resonance Frequency Analysis With Implant Survival
- Author
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Marcus Holmberg, Martin Johansson, Anne Child-Hymas, Peter Thomsen, Max Sallis Osborne, and Ann-Louise McDermott
- Subjects
Resonance frequency analysis ,Dentistry ,Bone conduction hearing ,Cohort Studies ,Hearing Aids ,Hearing ,Osseointegration ,Suture Anchors ,Statistical significance ,Pediatric Otology ,Humans ,Medicine ,Prospective Studies ,Child ,Hearing Loss ,Titanium ,business.industry ,Lasers ,Implant failure ,Repeated measures design ,Implant stability quotient ,Sensory Systems ,Otorhinolaryngology ,Dental implants osseointegration ,Neurology (clinical) ,Implant ,business ,Abutment (dentistry) ,Bone-anchored hearing aid ,Cohort study - Abstract
Objective: To evaluate the clinical outcomes of pediatric patients implanted a novel 4.5 mm wide laser ablated titanium bone anchored implant system and to evaluate the implant stability over the first 12-month period. Study Design: A prospective, single-subject, repeated measure, cohort study. Participants served as their own controls. Setting: Community and tertiary referral hospital pediatric assessment center. Patients: A total of 115 consecutive pediatric patients aged 4 to 15 years were implanted with 176 laser ablated titanium bone anchored implants from January 2016 to January 2019. Main Outcome Measure: Clinical outcomes, implant failure rates, and post implantation implant stability quotient (ISQ) scores were studied over the first 12-month period. Data were analyzed for statistical significance through mixed effect modeling, with the significance level p = 0.01. Results: A median 12-month survival of 96.6% was observed. Six implants (3.5%) were lost in total, one of these (0.6%) was lost due to trauma. Adverse skin reactions (Holgers grade 2–4) were observed in 4.4% of all postoperative visits, occurring in 22 individuals (19.1%). Neither the ISQ high (ISQH) nor ISQ low (ISQL) values increased significantly between the stage 1 and 2 surgeries. In contrast, the ISQ results, irrespective of abutment size, demonstrated an increasing trend from 49.1 to 57 over the 12 months review period. A statistically significant change was only demonstrated from the 3 months follow up onwards. Conclusion: The use of 4.5 mm wide laser-ablated titanium bone anchored hearing implants resulted in superior survival rates and excellent clinical outcomes compared with previous implant systems.
- Published
- 2021