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Z-plasty for skin complications of bone-anchored hearing aid implantation

  • M S Miura (a1) (a2) and M N Rios (a2)



The bone-anchored hearing aid implantation technique is associated with post-operative skin reactions, which require conservative therapy and, in some cases, replacement of the abutment. Z-plasty is a technique that allows resection of the granulation tissue, thus ensuring that disease-free skin will be in contact with the abutment.

Case report:

Use of the Z-plasty technique for resection of the peri-abutment granulation tissue is described. In the case presented herein, the episodes of skin reaction became very frequent and the patient was unable to use his bone-anchored hearing aid for 2 to 3 days a week. We opted for surgical treatment with Z-plasty for management of the skin complications.


Use of the Z-plasty technique is recommended for the management of skin reactions associated with bone-anchored hearing aid implantation.


Corresponding author

Address for correspondence: Dr Matheus Nardi Rios, Rua Prof Annes Dias, 295 (Centro) 90020-160 Porto Alegre, Rio Grande do Sul, Brazil Fax: +55 (51) 9790 9320 E-mail:


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Z-plasty for skin complications of bone-anchored hearing aid implantation

  • M S Miura (a1) (a2) and M N Rios (a2)


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