Letter to the Editor in response to Posta et al. (2022): Pediatric morphometric study to guide the optimized implantation of the OSIA 2 implant system

Authors

URÍK Milan

Year of publication 2022
Type Article in Periodical
Magazine / Source European Archives of Oto-Rhino-Laryngology
MU Faculty or unit

Faculty of Medicine

Citation
Web https://link.springer.com/article/10.1007/s00405-022-07593-3
Doi http://dx.doi.org/10.1007/s00405-022-07593-3
Keywords Bone conduction implants; Osia; Children; Surgery
Description The authors of this paper propose the OSIA BI300 bone conduction implant to be feasible for implantation in children (“non-complicated cases”), without preoperative CT scan. In my experience as a pediatric surgeon, there is great danger of hitting the dura or sigmoid sinus when blindly drilling into the bone without having first performed a CT scan (see LION surgery;) where the surgeon (Antonio Delle Volpe) drilled 4 holes in a 5 year-old till he found bone where the screw was stable). In fact, Posta et al. state that “For safety purposes, knowing the position of sigmoid sinus is also important.”
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