RESUMO
OBJECTIVE: To describe the post-operative complications and audiological results related to percutaneous bone-anchored hearing devices. METHODS: A retrospective review was conducted of 44 patients with bilateral conductive or mixed hearing loss who were implanted with unilateral Baha Connect or Ponto devices. A generalised linear model for repeated measurements was used. RESULTS: Twenty patients were Baha Connect users, and 24 were implanted with Ponto devices. Twenty-seven patients experienced complications. No fewer complications were found in the group of patients using longer abutments. When we compared the frequency of complications between Ponto and Baha Connect users, there was no statistically significant difference (p = 0.90). Free-field hearing thresholds were statistically significantly improved when we compared pre- and post-operative results (p < 0.001). Average speech perception also improved (p < 0.001). CONCLUSION: Despite percutaneous bone-anchored hearing devices having a high rate of complications, they provide significant audiological benefits.
Assuntos
Auxiliares de Audição , Perda Auditiva , Percepção da Fala , Humanos , Perda Auditiva Condutiva/etiologia , Perda Auditiva Condutiva/cirurgia , Auxiliares de Audição/efeitos adversos , Audição , Testes Auditivos , Condução ÓsseaRESUMO
El tratamiento del paciente desdentado total o parcial con implantes oseointegrados es cada vez más frecuente en la práctica habitual. Una mayor demanda estética y funcional de estos pacientes, hace que cada día se intenten disminuir más los tiempos de espera para cargar dichos implantes. El hecho biofísico de someter a carga masticatoria funcional uno o varios implantes en las primeras 24 horas de su implantación es a lo que denominamos carga inmediata. El éxito del tratamiento implantológico puede alcanzarse con una correcta selección y evaluación del paciente, adecuada instrumentación quirúrgica, período de cicatrización satisfactorio correcta planificación y tratamiento protésico. Pretendiendo con este trabajo resaltar las ventajas de este tipo de rehabilitación, se seleccionó el paciente en la consulta de Implantología de la Facultad de Estomatología; después de ser valorados los elementos diagnósticos, se le aplica la técnica de provisionalización inmediata. Permitiendo al paciente tener su diente en un mismo tiempo quirúrgico e ir conformando la arquitectura gingival para la ulterior rehabilitación definitiva, concluido el período de oseointegración. Se contribuye con esta técnica a elevar la calidad de vida y satisfacción de la población implantada.
The treatment of the partial or total toothless patient with Osseo integrated implants is more frequent in daily practice. A major esthetical and functional demand of these patients makes shorter the loading waiting period. The biophysical effect of submit the implants to mastication within the first 24 hours is what we call immediate load. The implantation success may be achieved with a correct selection and evaluation of the patient. The purpose of this type of work is making a point about the advantages of it by selecting a patient of the consultation of Implantology of The Odontology School. After evaluating all the diagnosis elements a technique of immediate conditionality; allowing the patient to have the teeth in the same consultation and make the gingival architecture for a immediate definitive rehabilitation after the conclusion of the Osseo integration period. We provide a greater satisfaction and quality of life to the patients with this technique.