{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T12:30:30Z","timestamp":1787315430430,"version":"build-2736575974"},"reference-count":16,"publisher":"MDPI AG","issue":"16","license":[{"start":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T00:00:00Z","timestamp":1787270400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Clin. Med.","JCM"],"abstract":"<jats:p>Objectives: The aim of this study was to compare the surgical and postoperative clinical outcomes of punch-only and linear incision techniques for implantation of the Ponto\u00ae bone conduction implant. Methods: Surgical and follow-up data were collected from 101 patients: 46 treated with Minimally Invasive Ponto\u00ae Surgery (MIPS) and 55 with the linear incision technique (LT). The analysis focused on: (1) the surgical procedure, including operative time and intraoperative complications; (2) the healing process; and (3) long-term implant-site outcomes, including implant loss. Results: Median operative time was significantly shorter for MIPS than for LT (30 min vs. 40 min, p &lt; 0.001). No major intraoperative complications were observed in either group. Adverse skin reactions were more frequent in the LT group than in the MIPS group (18.2% vs. 8.7%), but the difference was not statistically significant (p = 0.249). A single implant loss occurred in the LT group 18 months after surgery and was unrelated to failed osseointegration or the surgical technique, being caused by recurrent cholesteatoma. Conclusions: MIPS was associated with a significantly shorter operative time than the LT. Both MIPS and LT appear to be safe techniques. No statistically significant differences were detected between the groups with respect to adverse skin reactions or implant survival during the follow-up period.<\/jats:p>","DOI":"10.3390\/jcm15166482","type":"journal-article","created":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T11:37:34Z","timestamp":1787312254000},"page":"6482","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of Two Surgical Techniques for Implantation of the Ponto\u00ae Bone Conduction Implant"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7548-6581","authenticated-orcid":false,"given":"Paulina","family":"Podlawska-Nowak","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Regional Hospital named by Miko\u0142aj Pirogov, 90-531 \u0141\u00f3d\u017a, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6174-9758","authenticated-orcid":false,"given":"Wojciech","family":"Gaw\u0119cki","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology and Laryngological Oncology, Poznan University of Medical Sciences, 60-355 Pozna\u0144, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7862-1411","authenticated-orcid":false,"given":"Anna","family":"Bartochowska","sequence":"additional","affiliation":[{"name":"Department of Phoniatrics and Audiology, Poznan University of Medical Sciences, 60-355 Pozna\u0144, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,8,21]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"882","DOI":"10.1097\/MAO.0000000000001852","article-title":"Minimally Invasive Ponto Surgery Versus the Linear Incision Technique With Soft Tissue Preservation for Bone Conduction Hearing Implants: A Multicenter Randomized Controlled Trial","volume":"39","author":"Calon","year":"2018","journal-title":"Otol. 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Pol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"207","DOI":"10.3390\/audiolres11020019","article-title":"Review of Bone Conduction Hearing Devices","volume":"11","author":"Ellsperman","year":"2021","journal-title":"Audiol. Res."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"474","DOI":"10.14639\/0392-100X-N1048","article-title":"Comparison between Linear Incision and Punch Techniques for Bone Anchored Hearing Aid Surgery","volume":"41","author":"Mochi","year":"2021","journal-title":"Acta Otorhinolaryngol. Ital."},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Cruz, L.D.S., Danieli, F., H\u00e5kansson, M.\u00c5., Johansson, M.L., dos Santos, F.R., Mir\u00e2ndola Barbosa Reis, A.C., and Hyppolito, M.A. (2023). Minimally Invasive Surgery as a New Clinical Standard for Bone Anchored Hearing Implants\u2014Real-World Data from 10 Years of Follow-Up and 228 Surgeries. Front. 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Ital."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/16\/6482\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T11:59:38Z","timestamp":1787313578000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/16\/6482"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,21]]},"references-count":16,"journal-issue":{"issue":"16","published-online":{"date-parts":[[2026,8]]}},"alternative-id":["jcm15166482"],"URL":"https:\/\/doi.org\/10.3390\/jcm15166482","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,21]]}}}