Skin Necrosis after Implantation with the BAHA Attract: A Case Report and Review of the Literature

Stephanie Y. Chen, Dean Mancuso, Anil K. Lalwani

Research output: Contribution to journalReview articlepeer-review

33 Scopus citations

Abstract

Objective: The bone-anchored hearing aid (BAHA) Attract is a transcutaneous bone conduction hearing aid that uses magnetic coupling to enable sound conduction. We report the first case of skin necrosis associated with the BAHA Attract and perform a literature review of soft tissue complications related to the device. Patient: A single patient who was found to develop skin necrosis 2 weeks after being fitted for the BAHA Attract speech processor. Intervention: After the patient developed skin necrosis from the device, she was advised to immediately discontinue use of the Attract to allow complete wound healing, upon which the Attract was successfully converted to a percutaneous BAHA. Main Outcome and Results: We monitored for the development of skin complications from the BAHA Attract. The patient's immediate postoperative course was unremarkable and she was fitted with a speech processor of M5 magnet strength at 1 month postoperatively. After 1 week of use, she reported discomfort and was advised to downgrade to an M4 magnet; however, she continued to use the M5 and the following week was found to have developed skin necrosis around the device. Conclusion: Despite the infrequency of skin necrosis related to the BAHA Attract, it must be considered in counseling and managing candidates for the device.

Original languageEnglish (US)
Pages (from-to)364-367
Number of pages4
JournalOtology and Neurotology
Volume38
Issue number3
DOIs
StatePublished - Mar 1 2017

Keywords

  • Attract
  • BAHA
  • Bone conduction device
  • Complications
  • Skinnecrosis

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Sensory Systems
  • Clinical Neurology

Fingerprint

Dive into the research topics of 'Skin Necrosis after Implantation with the BAHA Attract: A Case Report and Review of the Literature'. Together they form a unique fingerprint.

Cite this