Minimally Invasive Surgery for Ponto Bone Anchored Hearing Implants (C50)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Maastricht, Netherlands
- Maastricht University Medical Centre
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Adult patient, i.e. ≥ 18 years of age
- Eligible for the Ponto system
Exclusion Criteria:
- Known history of immunosuppressive disease
- Use of systemic immunosuppressive medication
- Receiving bilateral bone anchored hearing system
- Relevant dermatological diseases as judged by the investigator
- Not being able to finish the study, for example because of failure to complete the questionnaires
- Participating in another study with medical aids or medication
- When there is no suitable implantation-site for the 4 mm implant during surgery because of insufficient bone quality.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: SUPPORTIVE_CARE
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
EXPERIMENTAL: Minimally invasive punch technique
New surgical technique for Ponto bone anchored hearing implants
|
|
|
OTHER: Hultcrantz technique
Standard surgical technique for bone anchored hearing implants
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Incidence of inflammation (Holgers index ≥ 2)
Time Frame: 3 months post surgery
|
3 months post surgery
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Presence of dehiscence after surgery (Noted in a binary fashion (present/not present))
Time Frame: 3 months post surgery
|
3 months post surgery
|
|
|
Visual Analogue Scale (VAS) pain scale > 6 (Noted on a scale from 0 - 10)
Time Frame: 3 months post surgery
|
3 months post surgery
|
|
|
Loss of sensibility (Measured in mm outwards from the abutment)
Time Frame: 3 months post surgery
|
3 months post surgery
|
|
|
Soft tissue overgrowth (mm)
Time Frame: 3 months post surgery
|
3 months post surgery
|
|
|
Extrusion rate (number of implants lost)
Time Frame: 3 months post surgery
|
3 months post surgery
|
|
|
Implant stability quotient (ISQ) measurements (ISQ units 1-100)
Time Frame: 3 months post surgery
|
3 months post surgery
|
|
|
Surgical time (minutes)
Time Frame: 3 months post surgery
|
3 months post surgery
|
|
|
Wound healing time (time to reach healed)
Time Frame: 3 months post surgery
|
3 months post surgery
|
|
|
Holgers index ≥ 2 at any time point
Time Frame: 24 months post surgery
|
24 months post surgery
|
|
|
Presence of dehiscence after surgery (present/not present)
Time Frame: 24 months post surgery
|
24 months post surgery
|
|
|
Visual Analogue Scale (VAS) pain scale > 6 (Noted on a scale from 0 - 10)
Time Frame: 24 months post surgery
|
24 months post surgery
|
|
|
Loss of sensibility (Measured in mm outwards from the abutment)
Time Frame: 24 months post surgery
|
24 months post surgery
|
|
|
Soft tissue overgrowth (mm)
Time Frame: 24 months post surgery
|
24 months post surgery
|
|
|
Extrusion rate (number of implants lost)
Time Frame: 24 months post surgery
|
24 months post surgery
|
|
|
Implant stability quotient (ISQ) measurements (ISQ units 1-100)
Time Frame: 24 months post surgery
|
Measured in ISQ units (1-100)
|
24 months post surgery
|
|
Cosmetic result (10 point scale)
Time Frame: 24 months post surgery
|
Scored using a 10-point scale and are compared to the healthy, normal contralateral situation
|
24 months post surgery
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Skin position (analysed descriptively using photographs and computer software)
Time Frame: 3 months post surgery
|
Only at main center
|
3 months post surgery
|
|
Dynamic skin motion (analysed descriptively using photographs and computer software)
Time Frame: 3 months post surgery
|
Only at main center
|
3 months post surgery
|
|
Quality of life related questionnaires
Time Frame: 24 months post surgery
|
24 months post surgery
|
|
|
Correlation between cytokines and Holgers index
Time Frame: 24 months post surgery
|
24 months post surgery
|
|
|
Correlation IS-pro profile and Holgers index
Time Frame: 24 months post surgery
|
24 months post surgery
|
|
|
Development of a peri-implant dermatitis scale and compare it to the Holgers Index
Time Frame: 24 months post surgery
|
24 months post surgery
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Robert Stokroos, Professor, Maastricht University Medical Centre (MUMC+)
Publications and helpful links
General Publications
- Strijbos RM, Straatman LV, Calon TGA, Johansson ML, de Bruijn AJG, van den Berge H, Wagenaar M, Eichhorn E, Janssen M, Jonhede S, van Tongeren J, Holmberg M, Stokroos R. Long-Term Outcomes of the Minimally Invasive Ponto Surgery vs. Linear Incision Technique With Soft Tissue Preservation for Installation of Percutaneous Bone Conduction Devices. Front Neurol. 2021 Feb 24;12:632987. doi: 10.3389/fneur.2021.632987. eCollection 2021.
- Calon TG, van Hoof M, van den Berge H, de Bruijn AJ, van Tongeren J, Hof JR, Brunings JW, Jonhede S, Anteunis LJ, Janssen M, Joore MA, Holmberg M, Johansson ML, Stokroos RJ. Minimally Invasive Ponto Surgery compared to the linear incision technique without soft tissue reduction for bone conduction hearing implants: study protocol for a randomized controlled trial. Trials. 2016 Nov 9;17(1):540. doi: 10.1186/s13063-016-1662-0.
Study record dates
Study Major Dates
Study Start (ACTUAL)
Study Start
Primary Completion (ACTUAL)
Primary Completion
Study Completion (ACTUAL)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
First Posted
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- C50
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