Implantation of Bone Anchored Hearing Devices Through a Minimal Skin Punch Incision Versus the Epidermal Flap Technique.

Objective: To compare the minimal skin punch incision without additional skin incision or soft tissue reduction with the epidermal flap technique and soft tissue reduction, for the implantation of percutaneous bone-anchored hearing devices. Study Design: Prospective cohort study. Setting: Tertiary care referral center. Subjects and Methods: Two hundred seventeen patients underwent 220 implantations. Sixty five cases underwent implantation by means of a skin punch resection without soft tissue reduction (punch group) and 155 cases underwent epidermal flap and soft tissue reduction (dermatome group). Main outcome measures were duration of surgery, perioperative adverse events, skin tolerance, and revision surgery. Results: The duration of surgery was shorter in the punch group (p

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