Revising implantable hearing devices: Principes for converting a percutaneous to transcutaneous Bone Conducting
09-10, 17:00–17:30 (Europe/Istanbul), Hearing Aids

<p>Purpose: Present surgical techniques for converting percutaneous (PC) to transcutaneous (TC) BCD devices and for electrode placement in revision CI cases.</p> <p>Methods: We reviewed 16 patients converting PC to a TC BCD and 18 revision CI cases in our single implant center October1, 2023-July 30, 2026.</p> <p>Results: Reasons for converting to TC BCD included extruded the abutment/fixture from persistent granulation tissue with superficial infection, skin breakdown, chronic recurring granulation tissue around the abutment and elective change to a TC device. The CI group included revisions for device malfunction, delayed infection, basal turn ossification, and unexpected cochlear duct soft tissue obstruction. Scalp flap revision and management of internal device components are reviewed in video and pictorial formats. In the CI cases, the use of SMART-Nav intraoperatively was used to verify electrode placement after revision. Wound complications, facial nerve stimulation, balance issues, and comparison to prior performance will be presented. Pedicled scalp rotation flap design, antibiotic utilization and implanted fixture assessment will be discussed.</p> <p>Conclusion: Common principles for managing the soft tissue of the scalp when revising BCD and CI will be presented in an interactive format. Managing implanted fixtures and CI electrodes will be addressed separately with emphasis on optimizing postop healing and auditory performance.</p>
<p></p>
Moderator Moderator
Speaker Speaker
<p>Professor Backous (Drbackous.com) is a board-certified Neurotologist who practices in Puyallup, Washington. He graduated the University of Washington School of Medicine, did his internship and residency at Baylor College of Medicine and went on to complete a research followed by a clinical fellowship in Neurotology at Johns Hopkins University. His professional mission is ensuring access to care for patients with ear disease and hearing loss. He is an inaugural member of the Healthy Hearing Ears Initiative committed to creating standards of care for treating hearing loss in people with chronic otitis media. Prof. Backous hosts the Northwest Otology Fellowship and runs the largest implantable hearing device program in the Pacific Northwest. His passion is working to protect the richness of otolaryngology practice with doctors being able to choose their practice environment to optimally serve their patients with enjoyment and resilience. He is Past-President the American Academy of Otolaryngology-Head and Neck Surgery. His interests include flyfishing, water and Nordic skiing, golf, church activities, spending time with his wife and family and hiking.</p>
This speaker also appears in: