Post-operative infection rates in linear vs. punch technique for bone anchored hearing systems
| Autor: | Jack J. Wazen, Brian Kellermeyer, Linda Lange |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Percutaneous Multivariate analysis Hearing Loss Conductive Skin infection Deafness Prosthesis Implantation 03 medical and health sciences 0302 clinical medicine Hearing Aids Postoperative Complications Suture Anchors medicine Diabetes Mellitus Humans Minimally Invasive Surgical Procedures Surgical Wound Infection 030223 otorhinolaryngology Aged Retrospective Studies business.industry Incidence (epidemiology) Soft tissue Retrospective cohort study Perioperative medicine.disease Conductive hearing loss Surgery Otorhinolaryngologic Surgical Procedures Otorhinolaryngology 030220 oncology & carcinogenesis Female business |
| Zdroj: | American journal of otolaryngology. 41(6) |
| ISSN: | 1532-818X |
| Popis: | Purpose This study investigates the post-operative infection rates between two surgical approaches: linear incision and the punch technique for bone anchored hearing systems. Secondarily, it investigates the impact of smoking, comorbid disease, and operative conditions on post-operative skin reactions and infections. Methods A retrospective study was conducted at a single tertiary care institution. A single surgeon completed either of the two techniques on adult patients with mixed, conductive hearing loss, or single sided-deafness. Patients included had at least 6 months follow-up, and were evaluated for preexisting illnesses, perioperative complications, length of surgery, and post-operative complications including infection after surgery. Post-operative soft tissue around the abutment was assessed with Holgers Classification scale. Results Fifty-one patients were included in this study, 28 female and 23 males with an average age of 68.8. Thirty-three patients underwent linear incision surgery and 18 had the punch technique. Overall 9 patients (17.6%) had post-operative infections requiring topical or oral antibiotic treatment. Six (18.2%) were in the linear group and 3 (16.7%) in the punch group. There was no statistically significantly difference (p = 1). A multivariate analysis compared age, sex, obesity, DM, operative time, skin thickness, and abutment size to post-operative skin infection rates requiring treatment. Only DM was statistically correlative with infection (p = 0.02). Conclusion No significant differences in post-operative infections were identified comparing linear incision and the punch techniques. Patients with diabetes had a higher incidence of post-operative skin infections rates. |
| Databáze: | OpenAIRE |
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