Laryngo-Rhino-Otologie· 2003Q3
Zwei seltene Komplikationen bei Patienten mit knochenverankerten Hörgeräten
- 12citations
- Q3SCImago
- 2003year
Short summary
A child with a bone-anchored hearing aid sustained an intracranial intrusion of the bone-screw after a fall, which was successfully explanted without further complications; an adult patient developed an intracranial abscess secondary to a bone fixation screw infection.
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Key points
- A child's bone-anchored hearing aid bone-screw intruded intracranially after a fall, requiring immediate explantation.
- The child's intracranial intrusion resulted in fractures of the external and internal bone tables but no hematoma or infection.
- An adult patient developed an intracranial abscess secondary to a bone fixation screw infection, despite the screw remaining well-fixed.
- Both patients recovered following surgical intervention and antibiotic treatment.
AI-generated from the title and abstract; the full text is not read.
Abstract
In our program of bone-anchored hearing aids we experienced two rare complications: a child with a hearing aid fell on her head and got an intrusion of the bone-screw into the intracranial space with a fracture of tabula externa and interna. There were no further intracranial complications, no hematoma or infection. The screw was explanted immediately with oto-microsurgical instruments and diamond burrs. The site of the screw was covered with a local skin flap. There were no complications in wound healing and the child got a second implant on the other side. A patient got an infection of his bone fixation screw and we took out the external fixation but left in place the bone screw, which was obviously still well fixed and the adjacent bone was without signs of infection. There was good secondary wound healing with local and systemic antibiotics. With almost completely healed external wound the patient got an intracranial abscess, that needed neurosurgical drainage. After long-time antibiotic treatment the patient is well again.
The authors' abstract, as published at the source. Laryngo-Rhino-Otologie, 2003 · DOI ↗
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