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UID:pretalx-ifos2026-7RZMUE@sciencenext.org
DTSTART;TZID=EET:20260910T170000
DTEND;TZID=EET:20260910T173000
DESCRIPTION:<p style="margin-left: 0px!important\;">Purpose: Present surgic
 al techniques for converting percutaneous (PC) to transcutaneous (TC) BCD 
 devices and for electrode placement in revision CI cases.</p><p style="mar
 gin-left: 0px!important\;">Methods: We reviewed 16 patients converting PC 
 to a TC &nbsp\;BCD and 18 revision CI cases in our single implant center O
 ctober1\, 2023-July 30\, 2026.</p><p style="margin-left: 0px!important\;">
 Results: &nbsp\;Reasons for converting to TC BCD included extruded the abu
 tment/fixture from persistent granulation tissue with superficial infectio
 n\, skin breakdown\, chronic recurring granulation tissue around the abutm
 ent and elective change to a TC device. The CI group included revisions fo
 r device malfunction\, delayed infection\, basal turn ossification\, and u
 nexpected cochlear duct soft tissue obstruction. Scalp flap revision and m
 anagement of internal device components are reviewed in video and pictoria
 l formats. In the CI cases\, the use of SMART-Nav intraoperatively was use
 d to verify electrode placement after revision. Wound complications\, faci
 al nerve stimulation\, balance issues\, and comparison to prior performanc
 e will be presented. Pedicled scalp rotation flap design\, antibiotic util
 ization and implanted fixture assessment will be discussed.</p><p style="m
 argin-left: 0px!important\;">Conclusion: Common principles for managing th
 e soft tissue of the scalp when revising BCD and CI will be presented in a
 n interactive format. Managing implanted fixtures and CI electrodes will b
 e addressed separately with emphasis on optimizing postop healing and audi
 tory performance.</p>
DTSTAMP:20260805T021754Z
LOCATION:Hearing Aids
SUMMARY:Revising implantable hearing devices: Principes for converting a pe
 rcutaneous to transcutaneous Bone Conducting - Douglas D. Backous\, Bülen
 t Gündüz
URL:https://sciencenext.org/ifos2026/talk/7RZMUE/
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