Influence of Behavior on Complications of Osseointegrated Bone Conduction Devices in Children

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Compare incidences of complications following implantation of osseointegrated bone conduction devices (OBCD) between children with and without behavioral disorders.

Study Design:

Case series with chart review.


Tertiary referral center otology and neurotology practice.


Pediatric patients who underwent implantation of OBCD between May 2009 and July 2014 at Arkansas Children's Hospital.


Implantation with Cochlear BAHA 200 series, Cochlear BAHA BI300, or Oticon OBCD.

Main Outcome Measures:

Osseointegration failure (OIF) with resulting loss of flange-fixture and/or skin and soft tissue reactions.


The total rate of complications was 66.2%, with the majority being minor complications (39.4%). There was no difference in the total rate of complication (p = 0.461), minor complications (p = 0.443), major complications (p = 0.777), and minor and major complications (p = 0.762) between the control group and children with behavioral disorders.


Behavior was not observed to influence the incidence of OIF or skin/soft tissue reactions after implantation of OBCD in pediatric patients.

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