Name of the Procedure:

Common Name: Auditory Osseointegrated Device Replacement
Technical/Medical Term: Auditory Osseointegrated Device, Transducer/Actuator, Replacement Only, Each (L8694)

Summary

This procedure involves replacing the transducer or actuator component of an auditory osseointegrated device, which helps improve hearing by transmitting sound directly to the inner ear through bone conduction.

Purpose

An auditory osseointegrated device helps individuals with certain types of hearing loss, particularly those with conductive or mixed hearing loss, and single-sided deafness. The goal is to restore or improve hearing by replacing a malfunctioning or damaged part of the device to ensure it operates efficiently.

Indications

This procedure is indicated for patients experiencing a significant deterioration in hearing due to a faulty transducer or actuator in their auditory osseointegrated device. It's also suitable for those whose device parts have worn out over time and need replacement to maintain optimal hearing performance.

Preparation

• Pre-procedure Instructions:
  • Patients may be advised to avoid eating or drinking a few hours before the procedure if sedation is required.
  • Adjustments to regular medication schedules, as instructed by the healthcare provider.
• Diagnostic Tests or Assessments:
  • Hearing assessments to confirm the need for replacement.
  • Imaging studies like X-rays or CT scans to examine the osseointegrated device's attachment point.

Procedure Description

1. Initial Assessment: The healthcare provider evaluates the current device and confirms the need for replacement.
2. Anesthesia: Depending on the complexity, local anesthesia or sedation may be administered.
3. Replacement Process:
   • The healthcare professional accesses the implant site.
   • The malfunctioning transducer/actuator is carefully removed.
   • The new transducer/actuator is positioned and secured properly.
4. Testing and Adjustment: The new component is checked for proper functionality and adjustments are made as necessary.

Tools and Equipment:

• Specialized surgical instruments
• Replacement transducer/actuator components

Duration

The procedure typically takes about 30 minutes to an hour, depending on the complexity and any unforeseen issues.

Setting

This procedure is performed in an outpatient clinic or a surgical center.

Personnel

• Otolaryngologist (ENT specialist) or surgeon
• Audiologist
• Nursing staff
• Anesthesiologist (if sedation or anesthesia is required)

Risks and Complications

• Common Risks: Mild pain, swelling, or infection at the surgical site.
• Rare Complications: Device failure, improper placement, or complications from anesthesia.

Benefits

• Improved hearing functionality
• Enhanced quality of life Benefits can often be felt immediately or within a few days following recovery.

Recovery

• Post-procedure Care: Keep the surgical site clean and dry.
• Instructions: Avoid strenuous activity for a few days and follow-up for assessment and tuning of the device.
• Expected Recovery Time: Usually brief, allowing most patients to return to normal activities within a few days.

Alternatives

• Other Treatment Options:
  • Hearing aids
  • Cochlear implants
• Pros and Cons:
  • Alternative options may be less invasive or more suited to different types of hearing loss, but may not provide the direct bone conduction benefits of an osseointegrated device.

Patient Experience

• During the Procedure: Minimal discomfort due to anesthesia or sedation.
• After the Procedure: Mild pain managed with over-the-counter pain relievers, and minor swelling at the surgical site. Most patients resume regular activities shortly after the procedure.