{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T10:31:33Z","timestamp":1788517893461,"version":"build-2803163510"},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,10,1]],"date-time":"2019-10-01T00:00:00Z","timestamp":1569888000000},"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":[[2020,1]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To identify clinical variables associated with the decision to surgically discontinue bone\u2010anchored hearing device function.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective chart review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Tertiary neurotology referral center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>This study examines surgical interventions performed on existing bone\u2010anchored hearing devices at a single institution from 2008 to 2018. Patient characteristics, indications for implantation, and complications prompting surgical intervention were assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seventy\u2010seven cases were included in this study. Among patients in the younger cohort (&lt;37 years old), 100% (13 of 13) of those discontinuing their device had a contralateral normal\u2010hearing ear. Conversely, 0% (0 of 14) of the younger patients with bilateral hearing loss surgically discontinued their devices. Within the older cohort (\u226537 years old), female patients (<jats:italic>P<\/jats:italic> =. 002) and those with an increased body mass index (<jats:italic>P<\/jats:italic> =. 035) were more likely to surgically discontinue their devices. Multivariate analysis revealed that a contralateral normal\u2010hearing ear (<jats:italic>P<\/jats:italic> =. 001) and infection without soft tissue overgrowth of the abutment (<jats:italic>P<\/jats:italic> =. 026) were the strongest predictors of device discontinuation, after adjusting for potential confounders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Surgical discontinuation is associated with several clinical variables. Targeted interventions that are viable alternatives to removal, such as device relocation, should be presented to younger patients with a contralateral normal\u2010hearing ear who experience persistent complications. Patients with persistent infection in the absence of soft tissue overgrowth would especially benefit from enhanced counseling on proper hygiene.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599819879653","type":"journal-article","created":{"date-parts":[[2019,10,1]],"date-time":"2019-10-01T04:18:55Z","timestamp":1569903535000},"page":"95-101","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Surgical Explantation of Bone\u2010Anchored Hearing Devices: A 10\u2010year Single Institution Review"],"prefix":"10.1002","volume":"162","author":[{"given":"Christian G.","family":"Fritz","sequence":"first","affiliation":[{"name":"William Beaumont School of Medicine Oakland University Rochester Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"II","given":"Dennis I.","family":"Bojrab","sequence":"additional","affiliation":[{"name":"Michigan Ear Institute Farmington Hills Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenny F.","family":"Lin","sequence":"additional","affiliation":[{"name":"Michigan Ear Institute Farmington Hills Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher A.","family":"Schutt","sequence":"additional","affiliation":[{"name":"Michigan Ear Institute Farmington Hills Michigan USA"},{"name":"Neurotology Division St John Providence Health System Novi Michigan USA"},{"name":"Department of Surgery William Beaumont School of Medicine Oakland University Rochester Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seilesh C.","family":"Babu","sequence":"additional","affiliation":[{"name":"Michigan Ear Institute Farmington Hills Michigan USA"},{"name":"Neurotology Division St John Providence Health System Novi Michigan USA"},{"name":"Department of Surgery William Beaumont School of Medicine Oakland University Rochester Michigan USA"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Wayne State University Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert S.","family":"Hong","sequence":"additional","affiliation":[{"name":"Michigan Ear Institute Farmington Hills Michigan USA"},{"name":"Neurotology Division St John Providence Health System Novi Michigan USA"},{"name":"Department of Surgery William Beaumont School of Medicine Oakland University Rochester Michigan USA"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Wayne State University Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,10]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"304","article-title":"Osseointegrated titanium implants in the temporal bone: a clinical study on bone\u2010anchored hearing aids","volume":"2","author":"Tjellstrom A","year":"1981","journal-title":"Am J Otol"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0003489405114S1201"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(03)00527-8"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mao.0000185065.04834.95"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e31818b6491"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200107000-00022"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e318291c651"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215112000394"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215108002521"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200211000-00018"},{"key":"e_1_2_8_12_1","unstructured":"MaechlerM. 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