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初次植入后骨锚式助听植入物外露的时间依赖性预测因素：一项纵向研究。

Time-dependent predictors of bone-anchored hearing implant extrusion after primary implantation: a longitudinal study.

临床研究耳科IF 1.1Q3

文献信息

PMID42984214
原文在 PubMed 查看原文 ↗
发表日期2026
作者Ali Esseili
查看其他 10 位作者

Tyler J Gathman；Julio Roque；Lulia Kana；Joseph Norman；Izza Ali；Masanari Kato；Hyunseo Jung；Rachel Goffeney；Sandra Porps；Seilesh Babu

作者单位College of Medicine, Central Michigan University, USA.
查看其他 4 条单位信息

Department of Otolaryngology - Head & Neck Surgery, Wayne State University School of Medicine, USA.；College of Medicine, Michigan State University, USA.；Department of Otolaryngology - Head and Neck Surgery, Detroit Medical Center, USA.；Michigan Ear Institute, USA.

期刊The Journal of laryngology and otology
SCI 分区Q3
IF1.1
研究类型临床研究 · 临床
所属专科耳科

中文摘要

目的： 识别成人骨锚式助听植入物自发性和创伤性外露的临床危险因素。
方法： 2003年至2025年在一家三级神经耳科中心开展了一项回顾性队列研究，对象为接受初次骨锚式植入的成人。
结果： 在总共1090只植入耳中，73例（6.7%）发生装置外露。估计10年外露发生率为10.2%。颞骨放疗和肥胖分别与5倍和2倍的外露风险增加独立相关，而早期（<60天）或频繁（>3次）伤口并发症则不然。
结论： 颞骨放疗和肥胖是独立预测因素，而术后伤口并发症则不是。具有这些危险因素的患者可能受益于密切的术后监测。

英文摘要

OBJECTIVE: To identify clinical risk factors for spontaneous and traumatic extrusion of bone-anchored hearing implants in adults.
METHODS: A retrospective cohort study was carried out from 2003 to 2025 at a tertiary-care neurotology centre in adults with primary bone-anchored implantation.
RESULTS: Of 1090 total implanted ears, 73 cases (6.7 per cent) experienced device extrusion. The estimated 10-year incidence of extrusion was 10.2 per cent. Temporal bone radiation and obesity were independently associated with a 5- and 2-fold increased risk of extrusion, respectively, whereas early (<60 days) or frequent (>3 instances) wound complications were not.
CONCLUSION: Temporal bone radiation and obesity were independent predictors, whereas post-operative wound complications were not. Patients with these risk factors may benefit from close post-operative surveillance.