|
For patients with microtia, do you consult the reconstructive ear surgeon for advice on implant location?
| |
|
Yes
|
9
|
75
|
|
No
|
3
|
25
|
|
Location of implant for non-microtia children
| |
|
3.5-4.5 cm posterosuperior to EAC
|
2
|
17
|
|
5.0-5.5 cm posterosuperior to EAC
|
5
|
42
|
|
6.5 cm posterosuperior to EAC
|
1
|
8
|
|
Posterosuperior to EAC, measurement not specified
|
2
|
17
|
|
No answer
|
2
|
17
|
|
Location of implant for microtia children
| |
|
Same as for non-microtia children
|
4
|
33
|
|
Further posteriorly or superiorly
|
5
|
42
|
|
Variable
|
1
|
3
|
|
No answer
|
2
|
17
|
|
What are your indications for 2-staged procedures in children?
| |
|
Bone thickness/condition and age
|
6
|
50
|
|
Bone thickness/condition only
|
2
|
17
|
|
Age only
|
2
|
17
|
|
Single stage procedures only
|
1
|
8
|
|
No answer
|
1
|
8
|
|
Incision type
| |
|
Linear
|
5
|
42
|
|
U-shaped
|
7
|
58
|
|
Dermatome use
| | |
|
Yes
|
6
|
50
|
|
No
|
6
|
50
|
|
Do you perform pre-operative imaging to assess the thickness or quality of the bone?
| |
|
Yes
|
3
|
25
|
|
No
|
8
|
67
|
|
No answer
|
1
|
3
|
|
Do you use Gortex® or other bony augmentation?
| |
|
Yes
|
3
|
25
|
|
No
|
9
|
75
|
|
What is the earliest age at which you would typically perform the BAHA surgery? (years)
| |
|
1.5
|
1
|
8
|
|
3
|
3
|
25
|
|
4
|
5
|
42
|
|
5-6
|
3
|
25
|
|
What are your indications for a 3 mm versus 4 mm fixture?
| |
|
Bone thickness
|
9
|
75
|
|
4 mm preferred, 3 mm fixtures used if there is inadequate bone thickness
|
5/9
|
56
|
|
4 mm fixtures used in 80% of cases, 3 mm in 20% of cases
|
2/9
|
22
|
|
3 mm fixtures typically used in young children
|
2/9
|
22
|
|
4 mm fixtures regardless of bone thickness
|
1
|
8
|
|
Age
|
1
|
8
|
|
No answer
|
1
|
8
|
|
Length of time between 1st and 2nd stage? (months)
| |
|
3
|
1
|
8
|
|
4-6
|
4
|
33
|
|
3 for children >6yo, 6 for children <6yo
|
1
|
8
|
|
6-12 depending on age and bone quality
|
1
|
8
|
|
No timeline specified but depends on age and bone thickness/quality
|
1
|
8
|
|
Only perform single-stage surgeries
|
1
|
8
|
|
No answer
|
3
|
25
|
|
Do you use of a mastoid dressing after the 1st stage procedure?
| |
|
Yes
|
9
|
75
|
|
No
|
2
|
17
|
|
No answer
|
1
|
8
|
|
Do you routinely admit children after stage 1 or 2 procedures?
| |
|
Yes
|
6
|
50
|
|
No
|
5
|
42
|
|
No answer
|
1
|
8
|
|
Do you routinely place a sleeper implant during a pediatric case?
| |
|
Yes
|
7
|
58
|
|
No
|
4
|
33
|
|
No answer
|
1
|
8
|
|
If yes to the above question, how often have you had to use the sleeper implant?
| |
|
Never
|
4/7
|
57
|
|
Once
|
1/7
|
14
|
|
Twice
|
1/7
|
14
|
|
4% of cases
|
1/7
|
14
|
|
Do you perform soft-tissue reduction during the 1st or 2nd stage?
| |
|
1st stage
|
2
|
17
|
|
2nd stage
|
8
|
67
|
|
No answer
|
2
|
17
|
|
If you perform 2-stage operations, how many days after the 2nd stage procedure do you place the sound processor on the abutment?
| |
|
7-14
|
2/9
|
22
|
|
14-30
|
4/9
|
44
|
|
60-90
|
3/9
|
33
|
|
How often do you see pediatric BAHA patients have a successful operation?
| |
|
Every 1 month, then every 12 months
|
1
|
8
|
|
Every 3 months, then every 6 months
|
1
|
8
|
|
Every 6–12 months
|
9
|
75
|
|
Every 6 months for 24 months, then every 12 months
|
1
|
8
|
