caa a22 4500 606183566 CHVBK 20210128100822.0 cr unu---uuuuu 210128e20150901xx s 000 0 eng 10.1007/s00405-015-3521-0 doi (NATIONALLICENCE)springer-10.1007/s00405-015-3521-0 Switching from a percutaneous to a transcutaneous bone anchored hearing system: the utility of the fascia temporalis superficialis pedicled flap in case of skin intolerance [Elektronische Daten] [A. Devèze, S. Rossetto, R. Meller, M. Sanjuan Puchol] Objectives: To present the option to use a Fascia Temporalis Superficialis pedicled flap for the implantation of a transcutaneous magnetic osseointegrated auditory implant in selected revision procedures. Background: Osseointegrated auditory implants represent a reliable option for patients. Skin intolerance and aesthetic issue are two clear limitations of percutaneous system. Magnetic transcutaneous devices have been developed to overcome such drawbacks. The current new experience of such a device shows that they are well tolerated in primary cases. However, switching from a previous percutaneous system raises the question of skin tolerance. Hence, previous implanted abutments with skin penetration and skin reduction are more likely cause to skin intolerance and complication. Methods: We described here the option to use a Fascia Temporalis Superficialis flap to cover the implanted magnet. Conclusion: When switching from percutaneous osseointegrated auditory implant to transcutaneous system in case of high risk of skin intolerance, this procedure may provide sufficient tissue coverage to prevent skin intolerance, pain and delayed extrusion. Springer-Verlag Berlin Heidelberg, 2015 Skin reaction nationallicence Transcutaneous baha nationallicence Bone anchored hearing implant nationallicence Devèze A. Assistance Publique Hôpitaux de Marseille, Department of ORL and Skull Base Surgery, University Hospital Nord, Chemin des Bourrelly, 13015, Marseille, France aut Rossetto S. Assistance Publique Hôpitaux de Marseille, Department of ORL and Skull Base Surgery, University Hospital Nord and Center for Hearing Aid, Avenue Jules Cantini, Marseille, France aut Meller R. Assistance Publique Hôpitaux de Marseille, Department of ORL and Skull Base Surgery, University Hospital Nord, Chemin des Bourrelly, 13015, Marseille, France aut Sanjuan Puchol M. Assistance Publique Hôpitaux de Marseille, Department of ORL and Skull Base Surgery, University Hospital Nord, Chemin des Bourrelly, 13015, Marseille, France aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/9(2015-09-01), 2563-2569 0937-4477 272:9<2563 2015 272 405 https://doi.org/10.1007/s00405-015-3521-0 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-015-3521-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Devèze A. Assistance Publique Hôpitaux de Marseille, Department of ORL and Skull Base Surgery, University Hospital Nord, Chemin des Bourrelly, 13015, Marseille, France aut NATIONALLICENCE 700 1- Rossetto S. Assistance Publique Hôpitaux de Marseille, Department of ORL and Skull Base Surgery, University Hospital Nord and Center for Hearing Aid, Avenue Jules Cantini, Marseille, France aut NATIONALLICENCE 700 1- Meller R. Assistance Publique Hôpitaux de Marseille, Department of ORL and Skull Base Surgery, University Hospital Nord, Chemin des Bourrelly, 13015, Marseille, France aut NATIONALLICENCE 700 1- Sanjuan Puchol M. Assistance Publique Hôpitaux de Marseille, Department of ORL and Skull Base Surgery, University Hospital Nord, Chemin des Bourrelly, 13015, Marseille, France aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/9(2015-09-01), 2563-2569 0937-4477 272:9<2563 2015 272 405