caa a22 4500 606183752 CHVBK 20210128100823.0 cr unu---uuuuu 210128e20150901xx s 000 0 eng 10.1007/s00405-014-3137-9 doi (NATIONALLICENCE)springer-10.1007/s00405-014-3137-9 The bonebridge as a transcutaneous bone conduction hearing system: preliminary surgical and audiological results in children and adolescents [Elektronische Daten] [Frederike Hassepass, Stefan Bulla, Antje Aschendorff, Wolfgang Maier, Louisa Traser, Christian Steinmetz, Thomas Wesarg, Susan Arndt] The Bonebridge ® (BB, Med-El) is a newly designed transcutaneous active bone conductive implant with functional outcome similar to percutaneous bone-anchored hearing systems (BAHS). It is currently approved only for patients ≥18years. Since the BB allows the skin to remain intact and therefore should be able to overcome some of the issues related to percutaneous BAHS including skin reactions, wound infection and implant extrusion, it would be especially attractive for use in children. We present a preliminary series of the first three cases of BB implantation in children/adolescents (10-16years). Two subjects were affected by conductive hearing loss (CHL) and one subject by single-sided deafness (SSD). The surgical procedure with transmastoid approach was completed in all cases without complications. Both subjects with CHL showed an increase in speech perception thresholds in quiet from preoperative unaided to 6months postoperatively with BB of 37dB, respectively, of 12dB. The adolescent with SSD attained -3.1dB unaided vs. -5.6dB with the BB in the "speech and noise from the front” presentation and +0.5 unaided vs. -5.0dB with the BB in the "speech from the unilateral deaf side/noise from the normal hearing side” presentation using the adaptive Oldenburg Sentence Test. The results show a straightforward surgical procedure and satisfactory functional gain after BB implantation also in children/adolescents. BB implantation in patients ≤18years is currently an "off-label use” so that detailed information about alternative treatment options, operation risks and the lack of approval for use in children is essential. Springer-Verlag Berlin Heidelberg, 2014 Bone-anchored hearing system nationallicence Transcutaneous nationallicence Conductive hearing loss nationallicence Single-sided deafness nationallicence Transmastoid approach nationallicence Children nationallicence Hassepass Frederike Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Centre Freiburg, Killianstr. 5, 79106, Freiburg, Germany aut Bulla Stefan Department of Nuclear Medicine, University Medical Centre Freiburg, Freiburg, Germany aut Aschendorff Antje Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Centre Freiburg, Killianstr. 5, 79106, Freiburg, Germany aut Maier Wolfgang Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Centre Freiburg, Killianstr. 5, 79106, Freiburg, Germany aut Traser Louisa Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Centre Freiburg, Killianstr. 5, 79106, Freiburg, Germany aut Steinmetz Christian Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Centre Freiburg, Killianstr. 5, 79106, Freiburg, Germany aut Wesarg Thomas Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Centre Freiburg, Killianstr. 5, 79106, Freiburg, Germany aut Arndt Susan Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Centre Freiburg, Killianstr. 5, 79106, Freiburg, Germany aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/9(2015-09-01), 2235-2241 0937-4477 272:9<2235 2015 272 405 https://doi.org/10.1007/s00405-014-3137-9 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/s00405-014-3137-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hassepass Frederike Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Centre Freiburg, Killianstr. 5, 79106, Freiburg, Germany aut NATIONALLICENCE 700 1- Bulla Stefan Department of Nuclear Medicine, University Medical Centre Freiburg, Freiburg, Germany aut NATIONALLICENCE 700 1- Aschendorff Antje Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Centre Freiburg, Killianstr. 5, 79106, Freiburg, Germany aut NATIONALLICENCE 700 1- Maier Wolfgang Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Centre Freiburg, Killianstr. 5, 79106, Freiburg, Germany aut NATIONALLICENCE 700 1- Traser Louisa Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Centre Freiburg, Killianstr. 5, 79106, Freiburg, Germany aut NATIONALLICENCE 700 1- Steinmetz Christian Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Centre Freiburg, Killianstr. 5, 79106, Freiburg, Germany aut NATIONALLICENCE 700 1- Wesarg Thomas Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Centre Freiburg, Killianstr. 5, 79106, Freiburg, Germany aut NATIONALLICENCE 700 1- Arndt Susan Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Centre Freiburg, Killianstr. 5, 79106, Freiburg, Germany aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/9(2015-09-01), 2235-2241 0937-4477 272:9<2235 2015 272 405