Abstract：
Describe the feasibility and safety of completing bone-anchored hearing implants via the minimally invasive punch technique in the in-office setting.
This single-institution case series included 20 patients who underwent in-office bone-anchored hearing implant placement under local anesthesia from 2018 to 2021.
Veterans Affairs Northern California Healthcare System.
Following completion of the case series, patients were retrospectively surveyed regarding their satisfaction with this approach via a modified SSQ-8 (Surgical Satisfaction Questionnaire) to fit our purposes.
A total of 23 implants were completed in the in-office setting on 20 patients. Intra- and postoperative complication rates, including skin changes, irritation, infection, and poor wound healing, were similar to or better than currently published complication rates in the literature. In addition, patients reported overwhelmingly positive responses on the SSQ-8, almost universally stating that they were \"very satisfied\" with their clinic experience.
This case series suggests that it is feasible and safe to complete this procedure in the clinic under local anesthesia, but further prospective studies are needed to evaluate this in a more generalized population.
This single-institution case series included 20 patients who underwent in-office bone-anchored hearing implant placement under local anesthesia from 2018 to 2021.
Veterans Affairs Northern California Healthcare System.
Following completion of the case series, patients were retrospectively surveyed regarding their satisfaction with this approach via a modified SSQ-8 (Surgical Satisfaction Questionnaire) to fit our purposes.
A total of 23 implants were completed in the in-office setting on 20 patients. Intra- and postoperative complication rates, including skin changes, irritation, infection, and poor wound healing, were similar to or better than currently published complication rates in the literature. In addition, patients reported overwhelmingly positive responses on the SSQ-8, almost universally stating that they were \"very satisfied\" with their clinic experience.
This case series suggests that it is feasible and safe to complete this procedure in the clinic under local anesthesia, but further prospective studies are needed to evaluate this in a more generalized population.
摘要：
描述在办公室环境中通过微创打孔技术完成骨锚式听力植入物的可行性和安全性。
这个单机构病例系列包括2018年至2021年在局部麻醉下接受办公室骨锚式听力植入的20名患者。
退伍军人事务北加州医疗保健系统。
完成案例系列后，为了符合我们的目的,我们通过改良的SSQ-8(手术满意度问卷)对患者对这种方法的满意度进行了回顾性调查.
在20名患者的办公室环境中完成了总共23个植入物。术中和术后并发症发生率，包括皮肤变化,刺激,感染,伤口愈合不良，与文献中目前发表的并发症发生率相似或更好。此外,患者在SSQ-8上报告了压倒性的积极反应，几乎普遍表示他们对自己的临床经验“非常满意”。
本病例系列表明，在局部麻醉下在临床中完成此手术是可行且安全的，但需要进一步的前瞻性研究在更广泛的人群中对此进行评估.
这个单机构病例系列包括2018年至2021年在局部麻醉下接受办公室骨锚式听力植入的20名患者。
退伍军人事务北加州医疗保健系统。
完成案例系列后，为了符合我们的目的,我们通过改良的SSQ-8(手术满意度问卷)对患者对这种方法的满意度进行了回顾性调查.
在20名患者的办公室环境中完成了总共23个植入物。术中和术后并发症发生率，包括皮肤变化,刺激,感染,伤口愈合不良，与文献中目前发表的并发症发生率相似或更好。此外,患者在SSQ-8上报告了压倒性的积极反应，几乎普遍表示他们对自己的临床经验“非常满意”。
本病例系列表明，在局部麻醉下在临床中完成此手术是可行且安全的，但需要进一步的前瞻性研究在更广泛的人群中对此进行评估.
