Hearing Aids Hearing Loss Pediatric Hearing Loss Tinnitus Surgical and Implantable Hearing Correction

Operative Photos of Implant Insertion

BAHA Hearing System Surgery Photo 1. The device placement is planned.  The surgeon ensures that the device is inserted in an ideal position.  It must be placed far enough away from the ear itself to avoid any contact of the ear and the hearing device while also considering other factors such as use of a baseball cap.  Significant attention is placed during this step to ensure an optimal placement.
BAHA Hearing System Surgery Photo 2. The incision is plotted. A single linear incision is typically used.
BAHA Hearing System Surgery Photo

3. The area is prepared for the surgery.  A piece of tape is gently placed over the forehead to immobilize the head during the procedure.  Note that the patient is fully awake and conscious and only receives extra oxygen through a nasal cannula.

BAHA Hearing System Surgery Photo 4. Local anesthesia (Lidocaine 1%) is used to anesthetize the entire area.  The patient receives intravenous sedating medication delivered by the anesthesiologist during this part of the procedure and does not sense any of the discomfort of anesthetizing the entire area.  This allows the procedure to be completely “pain-free”.  After this is completed, there will be no sensation to the entire area for the duration of the procedure. 
BAHA Hearing System Surgery Photo 5. The incision is made and the skin is thinned.  Excess soft tissue is removed to allow the post to accept the hearing aid more efficiently.
BAHA Hearing System Surgery Photo 6. The implant is placed within the bone of the skull.
BAHA Hearing System Surgery Photo 7. The implant abutment has been inserted into the bone and the skin incision is ready to be repaired. 
BAHA Hearing System Surgery Photo 8. The incision is repaired.  Several layers of closure are performed.  There will be no sutures to remove in the healing period.
BAHA Hearing System Surgery Photo 9. A dressing is placed and will be worn for the next 1-2 weeks.
BAHA Hearing System Surgery Photo 10. A cap is placed over the abutment post and keeps the dressing in place during the healing period.
BAHA Hearing System Surgery Photo 11. A cup dressing is applied and the patient is taken to the recovery room where he will be discharged home.
BAHA Hearing System Surgery Photo 12. The first follow up is typically in 1-2 weeks.
BAHA Hearing System Surgery Photo 13. This is the wound after 1 week of healing.  The skin incision is healing very well and the patient will keep the area clean during this phase.  The patient will be seen back after approximately 1-2 months and the hearing device will then be fitted on the abutment post. 
BAHA Hearing System Surgery Photo 14. Follow up 6 weeks after surgery.
BAHA Hearing System Surgery Photo

15. The titanium implant is integrated and the processor is in good position.




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