title: The implant-site split-skin graft technique for the bone-anchored hearing aid.
abstract: We describe the technique of implant-site split-skin grafting for the bone-anchored hearing aid (BAHA). Twenty-five patients have undergone this procedure (20 adults and five children) since 1993 with a minimum follow-up of 1 year. Fifteen adults were operated upon as single stage surgery, all other cases (including all children) were performed in two stages. In four patients (16%) significant early graft inflammation was encountered which settled with outpatient treatment. In one the abutment had to be temporarily removed to allow the graft to settle. All patients now have a stable graft site. This surgical technique is straightforward and a separate graft donor site is avoided. It would appear this technique results in a stable BAHA graft site with low associated morbidity.
authors.affiliation: Hope Hospital, Salford, UK.
authors.forename: T J
authors.initials: TJ
authors.lastname: Woolford
authors.forename: D P
authors.initials: DP
authors.lastname: Morris
authors.forename: S R
authors.initials: SR
authors.lastname: Saeed
authors.forename: M P
authors.initials: MP
authors.lastname: Rothera
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D062109:Dermatologic Surgical Procedures; D005260:Female; D006310:Hearing Aids; D006314:Hearing Loss, Conductive / Q000601:surgery*; D006801:Humans; D008297:Male; D008416:Mastoid / Q000601:surgery; D008875:Middle Aged; D016348:Osseointegration / Q000502:physiology*; D019919:Prosthesis Implantation; D013514:Surgical Procedures, Operative