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Use of a 3D reconstruction model in a patient with severe atresia auris for optimal placement of Bonebridge transcutaneous bone conduction implant

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Abstract

Purpose

Patients affected by severe atresia auris (AA) can be a challenge during hearing restoration surgery due to the abnormal position of vascular and nervous structures in the bone. A 3D reconstruction model of malformed temporal bones can be helpful for planning surgery and optimizing intra-, peri-, and post-operative results.

Method

A 5-year-old girl with severe AA on the right side was implanted with a Bonebridge transcutaneous bone conduction implant (tBCI). 3D printing was used to reproduce the malformed temporal bone, find a good position for the tBCI and plan out the surgical details in advance. Hearing tests were performed before and after surgery and information about intra-, peri-, and post-operative outcomes were collected.

Results

The patient did not show any negative outcomes and, thanks to the Bonebridge, completely recovered hearing on the right side.

Conclusions

3D printing is a useful tool for planning surgery in AA patients and for preventing possible risks related to the unknown malformed anatomy.

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Funding

No public or private funds sponsored this study.

Author information

Authors and Affiliations

  1. Otology and Cochlear Implant Unit, Regional Referral Centre Children’s Hospital “Santobono-Pausilipon”, Naples, Italy

    Antonio Della Volpe, Antonietta De Lucia, Valentina Ippolito, Vincenzo Pastore & Luigi Iuppariello

  2. Institute of Crystallography, Italian National Research Council (IC-CNR), Rome, Italy

    Mario Formisano & Fabrizio Clemente

  3. Otolaryngology Department, University of Perugia, Piazza Menghini 1, 06129, Perugia, Italy

    Arianna Di Stadio

Authors
  1. Antonio Della Volpe
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  2. Antonietta De Lucia
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  3. Valentina Ippolito
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  4. Vincenzo Pastore
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  5. Luigi Iuppariello
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  6. Mario Formisano
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  7. Fabrizio Clemente
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  8. Arianna Di Stadio
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Contributions

ADS, AdV: study design, analysis of data, definition of conclusions, writing article; ADL, VI, VP collection of clinical data; LI, MF, FC preparation 3D material, supporting writing.

Corresponding author

Correspondence to Arianna Di Stadio.

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Conflict of interest

None of the authors declare conflict of interest.

Ethics approval

The study was approved by the hospital IRB.

Informed consent

Parents signed a written consent to allow her daughter to participate.

Consent for publication

Parents authorized publication of data previous anonymizing.

Availability of data and material

Data and material are available on demand by asking to corresponding author.

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Della Volpe, A., De Lucia, A., Ippolito, V. et al. Use of a 3D reconstruction model in a patient with severe atresia auris for optimal placement of Bonebridge transcutaneous bone conduction implant. Eur Arch Otorhinolaryngol 278, 3559–3564 (2021). https://doi.org/10.1007/s00405-020-06528-0

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  • DOI: https://doi.org/10.1007/s00405-020-06528-0

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