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The surgical technique presented anchors the OSI300 supraauricularly and subperiosteally over the squama temporalis, thereby avoiding the creation of an implant bed in the mastoid and reducing cosmetic contour deformity. Cranial\u2013parietotemporal placement allows bypassing absent or previously operated bone mastoid structures. Postoperatively, the implant was proved to be stable and inconspicuous, with a\u00a0significant improvement in hearing outcomes. In selected cases, this technique represents a\u00a0functional and esthetic alternative to standard implant placement, particularly in patients with a\u00a0history of multiple temporal bone surgeries.<\/jats:p>","DOI":"10.1007\/s00106-026-01800-x","type":"journal-article","created":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T11:27:48Z","timestamp":1790940468000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Implantation of a\u00a0transcutaneous, bone-anchored, piezoelectric bone conduction hearing aid on the squama temporalis","Implantation eines transkutanen, knochenverankerten, piezoelektrischen Knochenleitungsh\u00f6rger\u00e4tes auf der Squama temporalis. Englische Version"],"prefix":"10.1007","author":[{"given":"Anna-Lena","family":"Saur","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Graum\u00fcller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thoralf","family":"Kleitke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florian","family":"Schmidt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lichun","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara Maria","family":"van Bonn-Yterhus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Cantr\u00e9","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc-Andr\u00e9","family":"Weber","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wilma","family":"Gro\u00dfmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Mlynski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,10,2]]},"reference":[{"key":"1800_CR1","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1007\/s00106-018-0533-2","volume":"66","author":"D Beutner","year":"2018","unstructured":"Beutner\u00a0D, Delb\u00a0W, Frenzel\u00a0H et\u00a0al (2018) Guideline \u201cImplantable hearing aids\u201d-short version : German S2k guideline of the Working Group of German-Speaking Audiologists, Neurootologists and Otologists (ADANO), of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery (DGHNO) in collaboration with the German Society of Audiology (DGA), the German Society of Phoniatrics and Pediatric Audiology (DGPP), and patient representatives. HNO 66:71\u201376. https:\/\/doi.org\/10.1007\/s00106-018-0533-2","journal-title":"HNO"},{"key":"1800_CR2","doi-asserted-by":"publisher","first-page":"642","DOI":"10.1097\/MAO.0000000000001394","volume":"38","author":"R Salcher","year":"2017","unstructured":"Salcher\u00a0R, Zimmermann\u00a0D, Giere\u00a0T et\u00a0al (2017) Audiological Results in SSD With an Active Transcutaneous Bone Conduction Implant at a Retrosigmoidal Position. Otol Neurotol Off Publ Am Otol Soc Am Neurotol Soc Eur Acad Otol Neurotol 38:642\u2013647. https:\/\/doi.org\/10.1097\/MAO.0000000000001394","journal-title":"Otol Neurotol Off Publ Am Otol Soc Am Neurotol Soc Eur Acad Otol Neurotol"},{"key":"1800_CR3","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1111\/coa.12484","volume":"41","author":"GM Sprinzl","year":"2016","unstructured":"Sprinzl\u00a0GM, Wolf-Magele\u00a0A (2016) The Bonebridge Bone Conduction Hearing Implant: indication criteria, surgery and a\u00a0systematic review of the literature. Clin Otolaryngol 41:131\u2013143. https:\/\/doi.org\/10.1111\/coa.12484","journal-title":"Clin Otolaryngol"},{"key":"1800_CR4","doi-asserted-by":"publisher","first-page":"790","DOI":"10.1097\/MAO.0b013e318291c651","volume":"34","author":"R Kiringoda","year":"2013","unstructured":"Kiringoda\u00a0R, Lustig\u00a0LR (2013) A Meta-analysis of the Complications Associated With Osseointegrated Hearing Aids. Otol Neurotol 34:790\u2013794. https:\/\/doi.org\/10.1097\/MAO.0b013e318291c651","journal-title":"Otol Neurotol"},{"key":"1800_CR5","doi-asserted-by":"publisher","first-page":"106","DOI":"10.1007\/s00106-020-00877-2","volume":"68","author":"SK Plontke","year":"2020","unstructured":"Plontke\u00a0SK, G\u00f6tze\u00a0G, Wenzel\u00a0C et\u00a0al (2020) Implantation of a new active bone conduction hearing device with optimized geometry. HNO 68:106\u2013115. https:\/\/doi.org\/10.1007\/s00106-020-00877-2","journal-title":"HNO"},{"key":"1800_CR6","doi-asserted-by":"publisher","first-page":"874","DOI":"10.1097\/MAO.0000000000001834","volume":"39","author":"T Rader","year":"2018","unstructured":"Rader\u00a0T, St\u00f6ver\u00a0T, Lenarz\u00a0T et\u00a0al (2018) Retrospective Analysis of Hearing-Impaired Adult Patients Treated With an Active Transcutaneous Bone Conduction Implant. Otol Neurotol 39:874\u2013881. https:\/\/doi.org\/10.1097\/MAO.0000000000001834","journal-title":"Otol Neurotol"},{"key":"1800_CR7","unstructured":"D1831176_V1 Osia2 System Surgery (step by step). 2021"},{"key":"1800_CR8","unstructured":"D1672049-V2 Osia2 System Candidate Brochure. 2021"},{"key":"1800_CR9","doi-asserted-by":"publisher","first-page":"4119","DOI":"10.1007\/s00405-021-06946-8","volume":"278","author":"S Arndt","year":"2021","unstructured":"Arndt\u00a0S, Rauch\u00a0AK, Speck\u00a0I (2021) Active transcutaneous bone-anchored hearing implant: how I\u00a0do it. Eur Arch Otorhinolaryngol 278:4119\u20134122. https:\/\/doi.org\/10.1007\/s00405-021-06946-8","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"1800_CR10","doi-asserted-by":"publisher","first-page":"2995","DOI":"10.1007\/s00405-020-06022-7","volume":"277","author":"K Lau","year":"2020","unstructured":"Lau\u00a0K, Scotta\u00a0G, Wright\u00a0K et\u00a0al (2020) First United Kingdom experience of the novel Osia active transcutaneous piezoelectric bone conduction implant. Eur Arch Otorhinolaryngol 277:2995\u20133002. https:\/\/doi.org\/10.1007\/s00405-020-06022-7","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"1800_CR11","doi-asserted-by":"publisher","first-page":"921","DOI":"10.1080\/00016489.2025.2557572","volume":"145","author":"JW Lee","year":"2025","unstructured":"Lee\u00a0JW, Lee\u00a0HS, Seo\u00a0YJ (2025) Innovative surgical approaches for the Osia\u00ae 2 System. 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The \u2018off-label\u2019 use of the implant took place after the patient had been given specific information. The patient gave their consent to the use of the images in Figs.\u00a0\n                      \n                      ,\n                      \n                      , and\u00a0\n                      \n                      .","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The supplement containing this article is not sponsored by industry.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}}]}}