{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:39:38Z","timestamp":1761007178905,"version":"build-2065373602"},"reference-count":27,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2011,1,24]],"date-time":"2011-01-24T00:00:00Z","timestamp":1295827200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2011,3]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Classically, processor loading after single\u2010stage bone\u2010anchored implantation (BAI) surgery follows a 3\u2010month osseointegration period. The purpose of this study was to examine audiometric outcomes and postoperative complications in adult patients undergoing single\u2010stage BAI with processor loading at less than 6 weeks postoperatively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Otology clinic in a tertiary care academic center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>A retrospective review was performed of all adult patients (&gt;18 years) undergoing BAI from 2007 to 2010. Sixty\u2010four patients met inclusion criteria. Fifty\u2010five patients had unilateral hearing loss, including single\u2010sided deafness, conductive hearing loss, or mixed hearing loss. Nine patients had bilateral hearing loss. Patients were divided into groups based on time to processor loading (&gt;12 weeks, &lt;12 weeks, &lt;6 weeks). All patients were loaded with the external processor at less than 6 weeks when possible. Preoperative and postoperative audiometric evaluations were performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were no cases of osseointegration failure. All groups showed significant improvement in audiometric testing using their BAI (<jats:italic>P<\/jats:italic> &lt;. 005), and there were no significant differences between patients loaded at less than 12 weeks and those loaded at less than 6 weeks (<jats:italic>P<\/jats:italic> &gt;. 05). Major skin complications were seen in 9% of subjects and minor complications in 30%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Single\u2010stage BAI implantation with early processor loading is safe and effective in adults. All groups demonstrated significant audiometric benefit that was not affected in patients loaded early. Major and minor skin\u2010site complications frequently delayed processor loading, but there were no cases of osseointegration failure in any group.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599810391398","type":"journal-article","created":{"date-parts":[[2011,1,25]],"date-time":"2011-01-25T20:13:44Z","timestamp":1295986424000},"page":"402-407","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Early Loading After Single\u2010Stage Bone\u2010Anchored Implantation in Adults"],"prefix":"10.1002","volume":"144","author":[{"given":"Daniel M.","family":"Zeitler","sequence":"first","affiliation":[{"name":"University of Miami Ear Institute Department of Otolaryngology University of Miami Miller School of Medicine Miami Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hillary A.","family":"Snapp","sequence":"additional","affiliation":[{"name":"University of Miami Ear Institute Department of Otolaryngology University of Miami Miller School of Medicine Miami Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon","family":"Angeli","sequence":"additional","affiliation":[{"name":"University of Miami Ear Institute Department of Otolaryngology University of Miami Miller School of Medicine Miami Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bjorn S.","family":"Herman","sequence":"additional","affiliation":[{"name":"University of Miami Ear Institute Department of Otolaryngology University of Miami Miller School of Medicine Miami Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ann W.","family":"Plum","sequence":"additional","affiliation":[{"name":"University of Miami Miller School of Medicine Miami Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fred F.","family":"Telischi","sequence":"additional","affiliation":[{"name":"University of Miami Ear Institute Department 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