Implantable bone conduction devices enhance functional ear reconstruction in patients with pediatric microtia
PurposeThis study evaluated the audiometric outcomes and complications of simultaneous bone conduction device (BCD) implantation and auricular reconstruction, and the comparative effectiveness of three BCDs.MethodsIn total, 41 patients with bilateral microtia (ranging from 8 to 16 years old) who und...
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Frontiers Media S.A.
2025-07-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2025.1614778/full |
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| author | Ying Chen Ying Chen Chen-long Li Chen-long Li Liu-Jie Ren Liu-Jie Ren Xu Wu Na Gao Na Gao Ai-juan He Yao-yao Fu Yao-yao Fu Ya-ying Zhu Ya-ying Zhu Tian-yu Zhang Tian-yu Zhang Tian-yu Zhang |
| author_facet | Ying Chen Ying Chen Chen-long Li Chen-long Li Liu-Jie Ren Liu-Jie Ren Xu Wu Na Gao Na Gao Ai-juan He Yao-yao Fu Yao-yao Fu Ya-ying Zhu Ya-ying Zhu Tian-yu Zhang Tian-yu Zhang Tian-yu Zhang |
| author_sort | Ying Chen |
| collection | DOAJ |
| description | PurposeThis study evaluated the audiometric outcomes and complications of simultaneous bone conduction device (BCD) implantation and auricular reconstruction, and the comparative effectiveness of three BCDs.MethodsIn total, 41 patients with bilateral microtia (ranging from 8 to 16 years old) who underwent combined surgery from January 2018 to January 2024 were retrospectively analyzed. Audiometric parameters (free-field thresholds and speech recognition scores) and complications were compared across the groups of patients who received the Baha Attract (n = 13), Sophono (n = 18), and Bonebridge (n = 10) devices.ResultsSignificant improvements occurred in aided vs. unaided conditions, with mean free-field threshold values of 57.6 ± 7.42 vs. 22.19 ± 6.40 dB (p < 0.001) and speech recognition threshold values of 69.42 ± 4.21 vs. 39.16 ± 6.78 dB (p < 0.001). No significant inter-group differences emerged in hearing gain (p > 0.05). Device-related complications included transient skin reactions, hematoma, and pressure erythema, and all were resolved conservatively. The patients’ hearing threshold in a free field and speech recognition in quiet tests significantly improved after being implanted with the Baha Attract, Sophono, or Bonebridge hearing aid. There was no significant difference in hearing gain across frequencies between the subgroups. No patient in any of the subgroups reported major adverse events that affected the safety of the reconstructed auricle or the implant after the combined surgery.ConclusionThe three implants demonstrated satisfactory hearing performance in children with bilateral microtia. Combined BCD implantation and auricle reconstruction surgery was shown to be safe and effective. |
| format | Article |
| id | doaj-art-cf5d9acad62042f2bdcd8d9548a4068a |
| institution | Kabale University |
| issn | 2296-2360 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj-art-cf5d9acad62042f2bdcd8d9548a4068a2025-08-20T03:50:54ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602025-07-011310.3389/fped.2025.16147781614778Implantable bone conduction devices enhance functional ear reconstruction in patients with pediatric microtiaYing Chen0Ying Chen1Chen-long Li2Chen-long Li3Liu-Jie Ren4Liu-Jie Ren5Xu Wu6Na Gao7Na Gao8Ai-juan He9Yao-yao Fu10Yao-yao Fu11Ya-ying Zhu12Ya-ying Zhu13Tian-yu Zhang14Tian-yu Zhang15Tian-yu Zhang16Department of Facial Plastic and Reconstructive Surgery, Eye & ENT Hospital, Fudan University, Shanghai, ChinaENT Institute, Eye & ENT Hospital, Fudan University, Shanghai, ChinaDepartment of Facial Plastic and Reconstructive Surgery, Eye & ENT Hospital, Fudan University, Shanghai, ChinaENT Institute, Eye & ENT Hospital, Fudan University, Shanghai, ChinaDepartment of Facial Plastic and Reconstructive Surgery, Eye & ENT Hospital, Fudan University, Shanghai, ChinaENT Institute, Eye & ENT Hospital, Fudan University, Shanghai, ChinaENT Institute, Eye & ENT Hospital, Fudan University, Shanghai, ChinaENT Institute, Eye & ENT Hospital, Fudan University, Shanghai, ChinaDepartment of ENT, Eye & ENT Hospital, Fudan University, Shanghai, ChinaDepartment of Facial Plastic and Reconstructive Surgery, Eye & ENT Hospital, Fudan University, Shanghai, ChinaDepartment of Facial Plastic and Reconstructive Surgery, Eye & ENT Hospital, Fudan University, Shanghai, ChinaENT Institute, Eye & ENT Hospital, Fudan University, Shanghai, ChinaDepartment of Facial Plastic and Reconstructive Surgery, Eye & ENT Hospital, Fudan University, Shanghai, ChinaENT Institute, Eye & ENT Hospital, Fudan University, Shanghai, ChinaDepartment of Facial Plastic and Reconstructive Surgery, Eye & ENT Hospital, Fudan University, Shanghai, ChinaENT Institute, Eye & ENT Hospital, Fudan University, Shanghai, ChinaNHC Key Laboratory of Hearing Medicine, Fudan University, Shanghai, ChinaPurposeThis study evaluated the audiometric outcomes and complications of simultaneous bone conduction device (BCD) implantation and auricular reconstruction, and the comparative effectiveness of three BCDs.MethodsIn total, 41 patients with bilateral microtia (ranging from 8 to 16 years old) who underwent combined surgery from January 2018 to January 2024 were retrospectively analyzed. Audiometric parameters (free-field thresholds and speech recognition scores) and complications were compared across the groups of patients who received the Baha Attract (n = 13), Sophono (n = 18), and Bonebridge (n = 10) devices.ResultsSignificant improvements occurred in aided vs. unaided conditions, with mean free-field threshold values of 57.6 ± 7.42 vs. 22.19 ± 6.40 dB (p < 0.001) and speech recognition threshold values of 69.42 ± 4.21 vs. 39.16 ± 6.78 dB (p < 0.001). No significant inter-group differences emerged in hearing gain (p > 0.05). Device-related complications included transient skin reactions, hematoma, and pressure erythema, and all were resolved conservatively. The patients’ hearing threshold in a free field and speech recognition in quiet tests significantly improved after being implanted with the Baha Attract, Sophono, or Bonebridge hearing aid. There was no significant difference in hearing gain across frequencies between the subgroups. No patient in any of the subgroups reported major adverse events that affected the safety of the reconstructed auricle or the implant after the combined surgery.ConclusionThe three implants demonstrated satisfactory hearing performance in children with bilateral microtia. Combined BCD implantation and auricle reconstruction surgery was shown to be safe and effective.https://www.frontiersin.org/articles/10.3389/fped.2025.1614778/fullmicrotiahearing lossauricle reconstructionbone conduction implantsurgery |
| spellingShingle | Ying Chen Ying Chen Chen-long Li Chen-long Li Liu-Jie Ren Liu-Jie Ren Xu Wu Na Gao Na Gao Ai-juan He Yao-yao Fu Yao-yao Fu Ya-ying Zhu Ya-ying Zhu Tian-yu Zhang Tian-yu Zhang Tian-yu Zhang Implantable bone conduction devices enhance functional ear reconstruction in patients with pediatric microtia Frontiers in Pediatrics microtia hearing loss auricle reconstruction bone conduction implant surgery |
| title | Implantable bone conduction devices enhance functional ear reconstruction in patients with pediatric microtia |
| title_full | Implantable bone conduction devices enhance functional ear reconstruction in patients with pediatric microtia |
| title_fullStr | Implantable bone conduction devices enhance functional ear reconstruction in patients with pediatric microtia |
| title_full_unstemmed | Implantable bone conduction devices enhance functional ear reconstruction in patients with pediatric microtia |
| title_short | Implantable bone conduction devices enhance functional ear reconstruction in patients with pediatric microtia |
| title_sort | implantable bone conduction devices enhance functional ear reconstruction in patients with pediatric microtia |
| topic | microtia hearing loss auricle reconstruction bone conduction implant surgery |
| url | https://www.frontiersin.org/articles/10.3389/fped.2025.1614778/full |
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