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Implantation of bone-anchored hearing device using a three-dimensional template in a child

  • P M Puttasiddaiah (a1), H Goodrum (a2) and S T Browning (a1)



Implantation of bone-anchored hearing devices is performed to improve hearing in patients with chronic suppurative otitis media who cannot wear a conventional hearing aid. The surgical procedure can be safely performed in children aged over five years.

Case report

A 15-year-old patient with bilateral chronic suppurative otitis media and conductive hearing loss underwent the procedure to implant a bone-anchored hearing device but was found to have skull thickness of less than 2.5 mm and the procedure was abandoned. A computed tomography scan of the skull was undertaken and a three-dimensional template was reconstructed to identify appropriate thickness of the skull to implant the abutment during a second procedure.


Bone-anchored hearing devices can be implanted by prior imaging and using a template to identify the area of appropriate skull thickness to implant the abutment safely.


Corresponding author

Author for correspondence: Mr Paramesh M Puttasiddaiah, Department of Otolaryngology, Morriston Hospital, SwanseaSA6 6NL, Wales, UK E-mail:


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Mr P M Puttasiddaiah takes responsibility for the integrity of the content of the paper

Presented as a poster at the British Academic Conference in Otolaryngology, 4–6 July 2018, Manchester, UK.



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Implantation of bone-anchored hearing device using a three-dimensional template in a child

  • P M Puttasiddaiah (a1), H Goodrum (a2) and S T Browning (a1)


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