Abstract
Objectives: Sound processor loading after implantation of a bone-anchored hearing aid is often delayed by skin-site complications. This study examined the frequency of skin-site complications in various ethnic groups and determined factors that may lead to higher rates of skin-site complications resulting in delayed processor loading. Methods: Adult, English-speaking patients who underwent implantation of a bone-anchored hearing aid between 2007 and 2010 were reviewed. Demographic data including ethnicity, tobacco use, diabetes mellitus, immunosuppression, and long-term steroid use were determined. Major and minor skin-site complications and the time to processor loading were recorded. Results: The mean time to processor loading was 9.5 weeks, and the mean follow-up time was 23 months. There were no cases of osseointegration failure. African American patients had a significantly higher rate of major skin-site complications (p < 0.005) and a longer time to processor loading (mean, 17.6 weeks; p < 0.05) than the other ethnic groups. There was no significant difference in minor skin complication rates. There was no correlation between diabetes mellitus, longterm immunosuppression, or tobacco use and skin-site complications. Conclusions: Skin complications can delay processor loading following implantation of a bone-anchored hearing aid. There is a higher rate of major skin-site complications in African American patients, and these often delay processor loading. The risk of skin-site complications is not correlated with smoking, diabetes mellitus, or immunosuppression. An increased risk of skin-site complications is an important consideration for preoperative counseling.
| Original language | English |
|---|---|
| Pages (from-to) | 549-554 |
| Number of pages | 6 |
| Journal | Annals of Otology, Rhinology and Laryngology |
| Volume | 121 |
| Issue number | 8 |
| State | Published - Aug 1 2012 |
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Keywords
- Bone-anchored hearing aid
- Ethnicity
- Hearing loss
- Immunosuppression
- Keloid
- Postoperative complication
ASJC Scopus subject areas
- Otorhinolaryngology
Cite this
Ethnic disparity in skin complications following bone-anchored hearing aid implantation. / Zeitler, Daniel M.; Herman, Bjorn S.; Snapp, Hillary A; Telischi, Fred F; Angeli, Simon I.
In: Annals of Otology, Rhinology and Laryngology, Vol. 121, No. 8, 01.08.2012, p. 549-554.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Ethnic disparity in skin complications following bone-anchored hearing aid implantation
AU - Zeitler, Daniel M.
AU - Herman, Bjorn S.
AU - Snapp, Hillary A
AU - Telischi, Fred F
AU - Angeli, Simon I
PY - 2012/8/1
Y1 - 2012/8/1
N2 - Objectives: Sound processor loading after implantation of a bone-anchored hearing aid is often delayed by skin-site complications. This study examined the frequency of skin-site complications in various ethnic groups and determined factors that may lead to higher rates of skin-site complications resulting in delayed processor loading. Methods: Adult, English-speaking patients who underwent implantation of a bone-anchored hearing aid between 2007 and 2010 were reviewed. Demographic data including ethnicity, tobacco use, diabetes mellitus, immunosuppression, and long-term steroid use were determined. Major and minor skin-site complications and the time to processor loading were recorded. Results: The mean time to processor loading was 9.5 weeks, and the mean follow-up time was 23 months. There were no cases of osseointegration failure. African American patients had a significantly higher rate of major skin-site complications (p < 0.005) and a longer time to processor loading (mean, 17.6 weeks; p < 0.05) than the other ethnic groups. There was no significant difference in minor skin complication rates. There was no correlation between diabetes mellitus, longterm immunosuppression, or tobacco use and skin-site complications. Conclusions: Skin complications can delay processor loading following implantation of a bone-anchored hearing aid. There is a higher rate of major skin-site complications in African American patients, and these often delay processor loading. The risk of skin-site complications is not correlated with smoking, diabetes mellitus, or immunosuppression. An increased risk of skin-site complications is an important consideration for preoperative counseling.
AB - Objectives: Sound processor loading after implantation of a bone-anchored hearing aid is often delayed by skin-site complications. This study examined the frequency of skin-site complications in various ethnic groups and determined factors that may lead to higher rates of skin-site complications resulting in delayed processor loading. Methods: Adult, English-speaking patients who underwent implantation of a bone-anchored hearing aid between 2007 and 2010 were reviewed. Demographic data including ethnicity, tobacco use, diabetes mellitus, immunosuppression, and long-term steroid use were determined. Major and minor skin-site complications and the time to processor loading were recorded. Results: The mean time to processor loading was 9.5 weeks, and the mean follow-up time was 23 months. There were no cases of osseointegration failure. African American patients had a significantly higher rate of major skin-site complications (p < 0.005) and a longer time to processor loading (mean, 17.6 weeks; p < 0.05) than the other ethnic groups. There was no significant difference in minor skin complication rates. There was no correlation between diabetes mellitus, longterm immunosuppression, or tobacco use and skin-site complications. Conclusions: Skin complications can delay processor loading following implantation of a bone-anchored hearing aid. There is a higher rate of major skin-site complications in African American patients, and these often delay processor loading. The risk of skin-site complications is not correlated with smoking, diabetes mellitus, or immunosuppression. An increased risk of skin-site complications is an important consideration for preoperative counseling.
KW - Bone-anchored hearing aid
KW - Ethnicity
KW - Hearing loss
KW - Immunosuppression
KW - Keloid
KW - Postoperative complication
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UR - http://www.scopus.com/inward/citedby.url?scp=84865281603&partnerID=8YFLogxK
M3 - Article
C2 - 22953662
AN - SCOPUS:84865281603
VL - 121
SP - 549
EP - 554
JO - Annals of Otology, Rhinology and Laryngology
JF - Annals of Otology, Rhinology and Laryngology
SN - 0003-4894
IS - 8
ER -