{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T03:48:43Z","timestamp":1793591323662,"version":"4.5.0"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","issue":"10","license":[{"start":{"date-parts":[[2022,3,16]],"date-time":"2022-03-16T00:00:00Z","timestamp":1647388800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,3,16]],"date-time":"2022-03-16T00:00:00Z","timestamp":1647388800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100015763","name":"University of Szeged","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100015763","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>Continuous technological advances result in the availability of new bone conduction hearing implants, of which their suitability for pediatric patients is of major concern. The Cochlear<jats:sup>TM<\/jats:sup>Osia<jats:sup>\u00ae<\/jats:sup> 2 is a new active osseointegrated steady-state implant system that uses digital piezoelectric stimulation to treat hearing loss. The implant in the United States was approved for patients aged 12\u00a0years and above, whereas the CE mark is independent of age, the only requirement is body weight of at least 7\u00a0kg. Therefore, further clinical studies are required to assess device characteristics in younger patients. The aim of our study was to perform a morphometric study among 5\u201312-year-old children, and to develop a surgical protocol for Osia 2 system implantation based on these findings.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>We examined retrospectively cranial CT scans of 5\u201312-year-old patients from our clinical database. We measured the bone and soft-tissue thickness in the region of interest, and the position of the sigmoid sinus. 3D printed temporal bones were also used for planning.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Soft-tissue thickness varied between 3.2\u2009\u00b1\u20090.5\u00a0mm and 3.6\u2009\u00b1\u20090.6\u00a0mm and bone thickness varied between 3.5\u2009\u00b1\u20091.1\u00a0mm and 4.7\u2009\u00b1\u20090.3\u00a0mm. The sigmoid sinus was located 1.3\u2009\u00b1\u20090.2\u00a0cm posterior to the ear canal, and the anterior distance was 4.8\u2009\u00b1\u20090.9 to 7.1\u2009\u00b1\u20091.1\u00a0mm.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Our morphometric studies showed that patients aged 5\u201312 have different anatomical dimensions compared to adults, but that implantation of the Osia 2 system is feasible in these patients using an altered implant positioning recommended by our data. The Cochlear\u2122 Osia<jats:sup>\u00ae<\/jats:sup> 2 is, therefore, an option for hearing rehabilitation in younger pediatrics.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00405-022-07338-2","type":"journal-article","created":{"date-parts":[[2022,3,16]],"date-time":"2022-03-16T04:43:35Z","timestamp":1647405815000},"page":"4909-4915","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Pediatric morphometric study to guide the optimized implantation of the Osia\u00ae 2 implant system"],"prefix":"10.1007","volume":"279","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6995-3227","authenticated-orcid":false,"given":"Balint","family":"Posta","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Perenyi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Szabo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roland","family":"Nagy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabor","family":"Katona","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zsuzsanna","family":"Csakanyi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laszlo","family":"Rovo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8342-1059","authenticated-orcid":false,"given":"Zsofia","family":"Bere","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,3,16]]},"reference":[{"key":"7338_CR1","doi-asserted-by":"publisher","DOI":"10.3109\/17453678108991776","author":"T Albrektsson","year":"1981","unstructured":"Albrektsson T, Br\u00e5nemark PI, Hansson HA, Lindstr\u00f6m J (1981) Osseointegrated titanium implants: requirements for ensuring a long-lasting, direct bone-to-implant anchorage in man. 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