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Bone Anchored Surgery for Audiologists

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1.  Why did there have to be so much skin reduction during the surgery when bone anchored procedures were first introduced to the market? Abutments were only one size (short) and need to ensure that tissue did not grow over the abutment So the implant did not stick out of the side of head abnormally You don't need worry about skin reduction None of the above

2.  When is a two-stage or sleeper implant recommended during a surgical procedure? When a patient is concerned about being under anesthesia too long It is not recommended during a surgical procedure When bone thickness is less than 3mm All of the above

3.  When doing a MIPS procedure how much tissue thinning is required? 5 mm around the abutment 2mm around the circumference of the abutment Enough to see they implant is flat on the bone None of the above - no tissue thinning is required

4.  What are some implant placement considerations for patients? Glasses Hat/helmet Bone thickness All of the above

5.  Some consideration for pediatric bone anchored surgeries are Bone thickness Age of child Possible placement of a sleeper implant All of the above

6.  Can a pediatric patient wear their processor on the abutment directly after a second stage surgery? No, the skin needs to heal properly No, the patient will pull the implant out if they do not wait another 2 weeks Yes, because the patient can wear their device with the soft healing cap No, because the patient needs to return to the surgeon for medical clearance

7.  What is the purpose of the green screw that connects the implant and abutment? To let the professional know it is not an Oticon Medical Implant The screw color has no particular meaning To let the professional know it is an Oticon Medical Implant and signify the abutment accepts other manufacturer devices None of the above

8.  If a patient is experiencing feedback at the fitting due to sound processor placement what can the audiologist recommend? Use Genie feedback management in the software and recommend they see their surgeon to see if they can benefit from a longer abutment Tell the patient not to move their head in the position that causes feedback Nothing, this is normal None of the above

9.  What are benefits of the MIPS procedure when compared to older surgical approaches? Less infection/compromise of tissue Less numbness/hair loss Faster surgical time All the above

10.  What is the benefit of the Ponto implant being fully-threaded? Makes the OM implant stand out when shown next to competitor implants More bone- to- surface contact and provides better initial stability There is no benefit All of the above