{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T19:10:33Z","timestamp":1789153833172,"version":"build-2803163510"},"reference-count":43,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T00:00:00Z","timestamp":1789084800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T00:00:00Z","timestamp":1789084800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare osseointegration outcomes between minimally invasive (MI) techniques and the linear incision (LI) technique for bone\u2010anchored hearing implant placement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>We conducted a retrospective, multicentre cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Settings<\/jats:title>\n                    <jats:p>Eight tertiary referral centers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients undergoing bone\u2010anchored hearing implant placement with either MI or LI techniques were included. The primary endpoint was implant extrusion within 180 days post\u2010placement, excluding trauma\u2010related cases. Surgical technique was the main exposure variable. A Cox proportional hazards model was used to assess the risk of extrusion between techniques, adjusting for potential confounders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Eighty\u2010eight patients were included in the LI group and 117 in the MI group. The 180\u2010day non\u2010traumatic extrusion rate was 16.24% (95% confidence interval [CI], 10\u201024) for the MI group and 1.14% (95% CI, 0.06\u20107.1) for the LI group. Multivariable analysis demonstrated a significantly higher extrusion risk with MI techniques (HR\u2009=\u200910.1; 95% CI, 1.34\u201076.7;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.025).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our findings indicate a significantly increased extrusion risk with MI techniques compared with LI. Until higher\u2010level evidence becomes available, LI should be preferred in patients at risk of compromised osseointegration.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ohn.70431","type":"journal-article","created":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T18:52:16Z","timestamp":1789152736000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of Osseointegration Outcomes in Percutaneous Bone\u2010Anchored Hearing Implants: Linear Incision Versus Minimally Invasive Techniques"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-5439-1241","authenticated-orcid":false,"given":"Anne\u2010Line","family":"Mutschler","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery Universit\u00e9 Marie\u2010et\u2010Louis\u2010Pasteur, CHU Besan\u00e7on Besan\u00e7on 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