{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T04:15:02Z","timestamp":1784693702594,"version":"3.55.0"},"reference-count":12,"publisher":"Cambridge University Press (CUP)","issue":"S2","license":[{"start":{"date-parts":[[2013,5,7]],"date-time":"2013-05-07T00:00:00Z","timestamp":1367884800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2013,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215113000741_sec1\"><jats:title>Background:<\/jats:title><jats:p>Numerous techniques have been described to manage the skin and other soft tissues during bone-anchored hearing aid insertion. Previously, generally accepted techniques have sometimes led to distressing alopecia and soft tissue defects. Now, some surgeons are rejecting the originally described split skin flap in favour of a less invasive approach.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215113000741_sec2\"><jats:title>Objective:<\/jats:title><jats:p>To investigate bone-anchored hearing aid placement utilising a single, linear incision with either no or minimal underlying soft tissue reduction.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215113000741_sec3\"><jats:title>Patients and methods:<\/jats:title><jats:p>Thirty-four adults were prospectively enrolled to undergo single-stage bone-anchored hearing aid placement with this modified technique. A small, linear incision was used at the standard position and carried down through the periosteum. Standard technique was then followed with placement of an extended length abutment. Patients were reviewed regularly to assess wound healing, including evaluation with Holgers' scale.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215113000741_sec4\"><jats:title>Results:<\/jats:title><jats:p>Only 14.7 per cent of patients had a reaction score of 2 or higher. Most complications were limited to minor skin reactions that settled with silver nitrate cautery and\/or antibiotics. None required revision surgery for tissue overgrowth, and there were no implant failures.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215113000741_sec5\"><jats:title>Conclusion:<\/jats:title><jats:p>Our results suggest this to be a simple and effective insertion technique with favourable cosmesis and patient satisfaction.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215113000741","type":"journal-article","created":{"date-parts":[[2013,5,7]],"date-time":"2013-05-07T13:44:05Z","timestamp":1367934245000},"page":"S33-S38","source":"Crossref","is-referenced-by-count":24,"title":["Simplified bone-anchored hearing aid insertion using a linear incision without soft tissue reduction"],"prefix":"10.1017","volume":"127","author":[{"given":"J","family":"Husseman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Szudek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P","family":"Monksfield","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D","family":"Power","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"O'Leary","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"Briggs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2013,5,7]]},"reference":[{"key":"S0022215113000741_ref11","first-page":"281","article-title":"Bone-anchored hearing aids (BAHA): skin healing process for skin flap technique versus linear incision technique in the first three months after the implantation","volume":"130","author":"Mudry","year":"2009","journal-title":"Rev Laryngol Otol Rhinol (Bord)"},{"key":"S0022215113000741_ref10","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e318187e186"},{"key":"S0022215113000741_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(03)00527-8"},{"key":"S0022215113000741_ref6","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215107003714"},{"key":"S0022215113000741_ref1","doi-asserted-by":"publisher","DOI":"10.1177\/0003489405114S1201"},{"key":"S0022215113000741_ref2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.131.4.321"},{"key":"S0022215113000741_ref4","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1177\/014556139707600412","article-title":"The bone-anchored hearing aid (BAHA) in children with auricular malformations","volume":"76","author":"Granstr\u00f6m","year":"1997","journal-title":"Ear Nose Throat J"},{"key":"S0022215113000741_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.otorri.2009.06.005"},{"key":"S0022215113000741_ref8","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e3181c29fec"},{"key":"S0022215113000741_ref12","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215108002521"},{"key":"S0022215113000741_ref9","first-page":"56","article-title":"Soft tissue reactions around percutaneous implants: a clinical study of soft tissue conditions around skin-penetrating titanium implants for bone-anchored hearing aids","volume":"9","author":"Holgers","year":"1988","journal-title":"Am J Otol"},{"key":"S0022215113000741_ref5","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e31818599b8"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215113000741","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,7,13]],"date-time":"2019-07-13T13:30:59Z","timestamp":1563024659000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215113000741\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,5,7]]},"references-count":12,"journal-issue":{"issue":"S2","published-print":{"date-parts":[[2013,7]]}},"alternative-id":["S0022215113000741"],"URL":"https:\/\/doi.org\/10.1017\/s0022215113000741","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,5,7]]}}}