title: Single-stage BAHA implantation in adults and children: is it safe?
abstract: OBJECTIVE
  Most surgeons perform pediatric bone-anchored hearing aid (BAHA) implantation in two stages. This study examined the safety and efficacy of single-stage BAHA implantation in adults and children.
  
  
  METHODS
  Retrospective review of 32 ears: 18 pediatric (ages 6 to 13 years) and 14 adult patients who underwent single-stage BAHA surgery between 2002 and 2006.
  
  
  RESULTS
  A total of eight (25%) ears experienced complications. Overall, four (13%) ears required revision in the operating room. In the pediatric group, there were three (16.7%) ears with skin complications; two required operative revision. In the adult group, there were five (36%) ears with skin complications; two required operative revision.
  
  
  CONCLUSIONS
  In both adults and children, the single-stage technique for BAHA implantation is safe and efficient. All complications were related to skin reaction. Safety profiles for 1- and 2-stage surgery are similar, although the single-stage procedure is more cost effective, avoids a second procedure, and provides for earlier hearing rehabilitation.
authors.affiliation: Department of Otorhinolaryngology, Head and Neck Surgery, New York University School of Medicine, New York, NY 10016, USA.
authors.forename: Darius
authors.initials: D
authors.lastname: Kohan
authors.forename: Luc G T
authors.initials: LG
authors.lastname: Morris
authors.forename: Thomas
authors.initials: T
authors.lastname: Romo
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D003054:Cochlear Implants; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D019919:Prosthesis Implantation / Q000009:adverse effects* / Q000379:methods*; D012189:Retrospective Studies