Influence of Behavior on Complications of Osseointegrated Bone Conduction Devices in Children.

Objective: Compare incidences of complications following implantation of osseointegrated bone conduction devices (OBCD) between children with and without behavioral disorders. Study Design: Case series with chart review. Setting: Tertiary referral center otology and neurotology practice. Patients: Pediatric patients who underwent implantation of OBCD between May 2009 and July 2014 at Arkansas Children's Hospital. Interventions: Implantation with Cochlear BAHA 200 series, Cochlear BAHA BI300, or Oticon OBCD. Main Outcome Measures: Osseointegration failure (OIF) with resulting loss of flange-fixture and/or skin and soft tissue reactions. Results: The total rate of complications was 66.2%, with the majority being minor complications (39.4%). There was no difference in the total rate of complication (p = 0.461), minor complications (p = 0.443), major complications (p = 0.777), and minor and major complications (p = 0.762) between the control group and children with behavioral disorders. Conclusion: Behavior was not observed to influence the incidence of OIF or skin/soft tissue reactions after implantation of OBCD in pediatric patients. Copyright (C) 2017 by Otology & Neurotology, Inc. Image copyright (C) 2010 Wolters Kluwer Health/Anatomical Chart Company

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