{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T20:15:46Z","timestamp":1767212146546,"version":"3.37.3"},"reference-count":21,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,9,14]],"date-time":"2018-09-14T00:00:00Z","timestamp":1536883200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Bone conduction implants based on abutment\u2010driven acoustic transmission result in good hearing outcomes; however, skin complications impact the quality of life (<jats:styled-content style=\"fixed-case\">QOL<\/jats:styled-content>) and possibly the viability of the device for many patients. The transcutaneous magnetic Baha<jats:sup>\u00ae<\/jats:sup> Attract technology was developed with the goal of minimising skin complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To analyse surgical, auditory and <jats:styled-content style=\"fixed-case\">QOL<\/jats:styled-content> outcomes for patients implanted with the Baha<jats:sup>\u00ae<\/jats:sup> Attract.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Prospective multicentre cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Four French tertiary referral centres.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Thirty\u2010two patients implanted with the Baha<jats:sup>\u00ae<\/jats:sup> Attract, including 25 with conductive and mixed hearing loss and 7 with single\u2010sided deafness.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Postoperative follow\u2010up involved the visual analysis of soft tissue adaptation and sound processor magnet strength measurement. The audiometric outcomes were evaluated in quiet and noise, and the <jats:styled-content style=\"fixed-case\">QOL<\/jats:styled-content> was assessed using three different questionnaires.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After 12\u00a0months of use, soft tissue was thinner, and mean magnet strength was significantly decreased (3.7\u20103.1, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.05) relative to measures during surgery. The speech recognition threshold in quiet significantly improved compared to unaided situation (73\u201044 <jats:styled-content style=\"fixed-case\">dB HL<\/jats:styled-content> respectively, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001) as did functional gain in noise (+2.8). All <jats:styled-content style=\"fixed-case\">QOL<\/jats:styled-content> scores improved, and the <jats:styled-content style=\"fixed-case\">APHAB<\/jats:styled-content> questionnaire score correlated with the audiometric outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The Baha<jats:sup>\u00ae<\/jats:sup> Attract technology results in significant hearing gain and improves <jats:styled-content style=\"fixed-case\">QOL<\/jats:styled-content>. Skin complications were not observed, although surgeons, audiologists and patients should be aware of soft tissue evolution during the first postoperative year. The reversibility of this implant is a major advantage that allows switching to another system if hearing degrades.<\/jats:p><\/jats:sec>","DOI":"10.1111\/coa.13214","type":"journal-article","created":{"date-parts":[[2018,8,23]],"date-time":"2018-08-23T14:24:44Z","timestamp":1535034284000},"page":"1553-1559","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Transcutaneous Baha Attract system: Long\u2010term outcomes of the French multicenter study"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2463-7423","authenticated-orcid":false,"given":"J\u00e9r\u00f4me","family":"Nevoux","sequence":"first","affiliation":[{"name":"AP\u2010HP H\u00f4pital Bic\u00eatre Service d'Oto\u2010Rhino\u2010Laryngologie Le Kremlin\u2010Bic\u00eatre France"},{"name":"Facult\u00e9 de M\u00e9decine Universit\u00e9 Paris\u2010Saclay Universit\u00e9 Paris\u2010Sud Le Kremlin\u2010Bic\u00eatre 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