title: Z-plasty for skin complications of bone-anchored hearing aid implantation.
abstract: BACKGROUND
  The bone-anchored hearing aid implantation technique is associated with post-operative skin reactions, which require conservative therapy and, in some cases, replacement of the abutment. Z-plasty is a technique that allows resection of the granulation tissue, thus ensuring that disease-free skin will be in contact with the abutment.
  
  
  METHODS
  Use of the Z-plasty technique for resection of the peri-abutment granulation tissue is described. In the case presented herein, the episodes of skin reaction became very frequent and the patient was unable to use his bone-anchored hearing aid for 2 to 3 days a week. We opted for surgical treatment with Z-plasty for management of the skin complications.
  
  
  CONCLUSIONS
  Use of the Z-plasty technique is recommended for the management of skin reactions associated with bone-anchored hearing aid implantation.
authors.affiliation: Division of Pediatric Otolaryngology,Hospital da Criança Santo Antonio,Porto Alegre,Brazil.
authors.forename: M S
authors.initials: MS
authors.lastname: Miura
authors.affiliation: Department of Medical Surgery,Universidade Federal de Ciencias da Saúde de Porto Alegre,Rio Grande do Sul,Brazil.
authors.forename: M N
authors.initials: MN
authors.lastname: Rios
mesh_terms: D002648:Child; D006310:Hearing Aids; D006314:Hearing Loss, Conductive / Q000601:surgery*; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D019919:Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D012871:Skin Diseases / Q000209:etiology*; D053441:Suture Anchors; D013701:Temporal Bone / Q000601:surgery*
keywords: Hearing Aids; Otolaryngology; Otologic Surgical Procedure; Postoperative Complications