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Master's Dissertation
DOI
https://doi.org/10.11606/D.61.2023.tde-23082023-130349
Document
Author
Full name
Ana Carolina Soares Succar
Institute/School/College
Knowledge Area
Date of Defense
Published
Bauru, 2023
Supervisor
Committee
Lourençone, Luiz Fernando Manzoni (President)
Felix, Felippe
Hamerschmidt, Rogerio
Massuda, Eduardo Tanaka
Title in Portuguese
Complicações e resultados audiológicos de próteses auditivas percutâneas ancoradas ao osso
Keywords in Portuguese
Aparelhos auditivos
Audiologia
Complicações pós-operatórias
Osteointegração
Prótese osteoancorada
Abstract in Portuguese
Objetivo: Descrever as complicações pós-operatórias e resultados audiológicos dos pacientessubmetidos à cirurgia para colocação de próteses auditivas ancoradas ao osso (PAAO) percutâneas. Método: Análise retrospectiva dos prontuários de 44 pacientes com deficiência auditiva condutiva ou mista bilateral, que realizaram cirurgia para colocação da PAAO sistema Baha Connect® ou Ponto® unilateral, com análise pelo Modelo Linear Generalizado (GLM) para medidas repetidas. Resultados: Foram utilizados 20 Baha® Connect e 24 Ponto® e identificadas complicações em 27 pacientes. Ao compararmos usuários do sistema Ponto® e Baha® Connect, não houve diferença estatística entre as marcas no que se refere à frequência das complicações (p=0,90). Os limiares auditivos obtidos em campo livre melhoraram quando comparamos os dados pré e pós operatórios (p<0,001). No que se refere à percepção da fala, as análises mostraram melhora estatisticamente significante (p<0,001). Conclusão: Foi destacada a alta frequência de complicações associadas às PAAO percutâneas. Entretanto, demonstrou benefício audiológico em todos os testes estudados.
Title in English
Complications and audiological results of percutaneous bone-anchored hearing devices
Keywords in English
Audiology
Bone-anchored prosthesis
Hearing aids
Osseointegration
Postoperative complications
Abstract in English
Background: To describe the postoperative complications and audiological results related to percutaneous bone-anchored hearing devices (BAHDs). Methods: A retrospective review of 44 patients with bilateral conductive or mixed hearing loss who were implanted with unilateral Baha Connect® or Ponto®. Generalized Linear Model (GLM) for repeated measurements was used. Results: Twenty patients were Baha® Connect users, and twenty-four were implanted with Ponto®. Twenty-seven patients had experienced complications. When we compared the frequency of complications between Ponto® and Baha® Connect users, there was no statistical significance (p=0.90). Free-field hearing thresholds were statistically significantly improved when we compared preoperative and postoperative results (p<0,001). The average speech perception also improved (p<0,001). Conclusion: In spite of percutaneous BAHDs having a high rate of complications, they provide significant audiological benefits.
 
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Publishing Date
2023-09-18
 
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