The BAHS Summit of the Americas Meeting
Speaker’s Abstracts November 12–14, 2015 The W Fort Lauderdale Florida
WELCOME
Dear delegates, It gives us great pleasure to welcome all of you to our 1st Bone Anchored Hearing System (BAHS) Summit of the Americas in Florida. We have amongst us a group of highly respected clinicians, researchers and opinion leaders in Otology/Neurotology from Canada, South America and the United States of America. In this meeting, we have attempted to put together what we think is an interesting lineup of speakers who will showcase new innovations in bone anchored technologies, and discuss various aspects of treatment solutions. Over the next two days, we hope you have a wonderful educational experience interacting with us and your colleagues. Sincerely,
Ravi Sockalingam, PhD Director of Clinical Research and Professional Relations
INDEX New Developments in the Ponto Family: Introduction to Minimally Invasive Ponto Surgery (MIPS) & Abutment Extender . . . . . . . . . . . . . . . . . . . . . . 5 Marcus Holmberg Implant Design in Bone Anchored Hearing Systems – In Pursuit of Bone Bonding . . . . . . . . . . . . . . . . . . . . 6 Martin L Johansson Transcutaneous and Percutaneous Bone Conduction Solutions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Allan T.P. Ho Post Surgery Evaluation and Outcome Measures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Bill Hodgetts Comparison of Surgical Techniques in Bone Anchored Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Seilesh Babu Bone Anchored Hearing Surgery in Children: Expanding Indications and Special Considerations . . . . . . 10 Kenneth H. Lee A New Frontier in Cochlear Implant Design and Technology; The Neuro CI . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Jared Schnackenberg Cost Analysis of Bone Anchored Hearing Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Brian J. McKinnon
MARCUS HOLMBERG PHD New Developments in the Ponto Family: Introduction to Minimally Invasive Ponto Surgery (MIPS) & Abutment Extender At Oticon Medical we put patients first, and believe less is often more to achieve successful outcomes. This presentation will focus on two new developments in the Ponto family. Minimally Invasive Ponto surgery, or MIPS for short, is a surgical technique supported by a completely redesigned set of surgical components. MIPS allows a truly minimal invasive surgery, inducing the least possible surgical trauma. We will introduce MIPS in some detail, and give the first clinical outcomes from an evaluation performed across 15 clinics. We will also introduce further flexibility in the Ponto family with the brand new Abutment extension – because we believe in freedom of choice.
Five Amazing Years of Bone Anchored Patients The world of bone anchored hearing system has developed so rapidly that even what we took as evident truths just a few years ago has altered. Just think about soft tissue thinning. this presentation will summarize the results of state-of-theart bone anchored hearing-systems from recent and ongoing clinical studies. Biography: Marcus Holmberg is a Clinical Trial Manager at Oticon Medical, responsible for the clinical research on implants and surgical aspects of bone anchored hearing systems. Marcus has an engineering background and carried out his doctoral research on models of speech encoding in the inner ear and auditory brainstem.
Marcus Holmberg, PhD Clinical Trials Manager, BAHS Oticon Medical AB Askim, Sweden Abstracts BAHS Summit of the Americas | 5
MARTIN L JOHANSSON MSC MECH ENG
Implant Design in Bone Anchored Hearing Systems – In Pursuit of Bone Bonding The Ponto BHX implant is the Wide Ponto implant with a laser ablated Biohelix surface modification. With laser ablation technology, site specific modification on the implants can be achieved, creating hierarchy of surface structure on macro-, micro-, and nano-scale matching the building blocks of bone. The design and surface features of the implant will be discussed and the result of an experimental evaluation Ponto BHX implant will be presented. Biography: Martin Johansson holds a Master’s degree in mechanical engineering from Chalmers University of Technology. Over the last 15 years, he has held the positions as senior consultant and Chief Scientist in implant research and development. In addition to his work as project manager at Oticon Medical, he is working on his PhD in skin penetrating implants at the Sahlgrenska Academy, University of Gothenburg.
Martin L Johansson, MSc Mech Eng Project Manager R&D Oticon Medical Askim, Sweden 6 | Abstracts BAHS Summit of the Americas
DR ALLAN T.P. HO FRCS (ORL-HNS), FRC(C)
Transcutaneous and Percutaneous Bone Conduction Solutions This presentation seeks to give an overview of bone conduction technologies. Current innovation and trends will be explored in percutaneous and transcutaneous bone conduction hearing devices. Passive skin-drive and direct-drive bone conduction solutions will be compared and discussed. Learning lessons from the past and the evolution in surgical techniques will be presented. Biography: Dr. Allan Ho is a tenured Associate Professor in the Division of Otolaryngology Head and Neck Surgery at the University of Alberta in Edmonton, Canada. He is an Otologist, Cochlear implant and lateral skull base surgeon. He chairs the Canadian Otology subspecialty group of the Canadian Society of Otolaryngology. He obtained fellowship training in Otology, Neurotology and Skull Base Surgery in Halifax, Nova Scotia.
Dr Allan T.P. Ho, FRCS (ORL-HNS), FRC(C) Associate Professor Division of Otolaryngology Head and Neck Surgery University of Alberta Edmonton, Canada Abstracts BAHS Summit of the Americas | 7
BILL HODGETTS PHD Post Surgery Evaluation and Outcome Measures The measurement of outcomes for Bone Anchored Devices is far from trivial. There are many points in time where measurements may be of interest: presurgical, during surgery, post-surgery until device fitting, device fitting and post-fitting evaluations. Additionally, the type of candidate may alter the outcome measures of interest. In this presentation I will review the outcomes we measure (and some that we don’t) at Institute for Reconstructive Science in Medicine (iRSM) and provide some rationale for their inclusion/exclusion. I will also present some of the many challenges with measuring outcome as we have historically done in our fields. Finally, I will also introduce you to the “Auronet” group and explain briefly the concept behind the development of “Core Sets” of patient-centred outcomes. Biography: Bill Hodgetts is an associate professor in the Department of Speech Pathology and Audiology at the University of Alberta. He holds a joint appointment at the iRSM where he is program director for audiology and bone conduction amplification (BCA). He obtained his B.A. (Psychology) and M.Sc. (Audiology) from the University of Western Ontario and his Ph.D. (Rehab Sciences) from the University of Alberta. Bill teaches Audiology/Hearing Science as well as Statistics and Research Design at the U of A. His research focuses on the assessment, prescription, verification and validation of bone anchored amplification devices with a goal of improving outcomes for BCA users and transferring knowledge to other clinicians involved in BCA.
Bill Hodgetts, PhD Associate Professor University of Alberta Edmonton, Canada 8 | Abstracts BAHS Summit of the Americas
SEILESH BABU MD Comparison of Surgical Techniques in Bone Anchored Surgery Temporal bone implants have been surgically implanted for decades. The surgical technique for placement of these devices has evolved over time. Description of these various techniques will be provided, including the benefits, risks, and pitfalls of each. Biography: Dr. Babu is fellowship trained in Otology and Neurotology and has a clinically and surgically active practice at the prestigious Michigan Ear Institute. Dr. Babu has clinical interests in ear surgery, hearing loss and reconstruction, dizziness, cochlear implants, acoustic neuromas, skull base lesions and facial nerve weakness in children and adults. Dr. Babu has numerous publications and textbooks in these areas.
Seilesh Babu, MD Otologist/Neurotologist/ Skull Base Surgery Michigan Ear Institute (MEI) Michigan, USA Abstracts BAHS Summit of the Americas | 9
KENNETH H. LEE MD, PHD Bone Anchored Hearing Surgery in Children: Expanding Indications and Special Considerations Recently, indications for bone anchored hearing surgery in children have expanded to those with single sided SNHL in addition to those with CHL etiologies such as aural atresia. While bone anchored hearing devices are an effective option for children as well as adults, pediatric patients inherently have additional issues to consider when counseling and planning for surgery. These special considerations will be presented and the pros and cons to different approaches will be discussed. Biography: Kenneth Lee received his A.B. in Molecular Biology from the University of California at Berkeley in 1989. In 1998 he earned earn a M.D. and a Ph.D. in Neurobiology from Boston University School of Medicine. He completed his residency in Otolaryngology – Head & Neck Surgery at Washington University School of Medicine/Barnes-Jewish Hospital and a Fellowship in Pediatric Otolaryngology at Cincinnati Children’s Hospital Medical Center. He is currently an Associate Professor and John W. & Rhonda K. Pate Professor of Otolaryngology, UT Southwestern Medical Center.
Kenneth H. Lee, MD, PhD Associate Professor and John W. & Rhonda K. Pate Professor of Otolaryngology UT Southwestern Medical Center, Dallas, Texas, USA 10 | Abstracts BAHS Summit of the Americas
JARED SCHNACKENBERG MA F/AAA A New Frontier in Cochlear Implant Design and Technology; The Neuro CI Introducing the newest cochlear implant system to the global market, the Neuro CI. Designed for a future of sounds, the Nuero system incorporates proven technology and design characteristics, taken from the Neurelec platform, and combines it with the best in class technologies from Oticon Inc, making the Neuro CI the world’s sleekest and smartest choice for years to come. This presentation touches on the novel and differentiating features of the New Neuro CI system. Come see what everyone is talking about! Biography: Jared Schnackenberg joined Oticon Medical as President of Oticon Medical U.S. on June 01, 2015. Schnackenberg brings a wealth of experience from the cochlear implant field. Before Oticon Medical, he was Vice President, North American Sales & Service for Advanced Bionics with full responsibility for the support to cochlear implant clinics, ENT physicians and recipients. He has a solid track record building and leading high-performance teams in sales, service and clinical operations. He has deep experience in hearing implants and proven success in relationshipbuilding and business development. Schnackenberg earned a Master of Arts in Audiology from the University of Northern Colorado and holds board certification in Audiology with a specialty in Cochlear Implants from the American Academy of Audiology.
JARED SCHNACKENBERG MA F/AAA President, Oticon Medical U.S. Somerset, New Jersey USA
Abstracts BAHS Summit of the Americas | 11
DR. BRIAN J. MCKINNON MD, MBA, FACS
Cost Analysis of Bone Anchored Hearing Treatment The challenges of an auditory osseointegrated implant program involve more than appropriate candidate selection and surgery. Astute financial stewardship of an auditory osseointegrated implant program as well as advocacy with payers on behalf of patients are equally as important. This presentation will discuss the lessons learned from a decade’s experience of research, advocacy, and management of both academic-based and private practice-based auditory osseointegrated implant programs. Biography: Dr. McKinnon is Board Certified in Neurotology, received his M.B.A. from Johns Hopkins University, and is currently pursuing his M.P.H. at the University of Memphis. He is an experienced auditory osseointegrated implant and cochlear implant surgeon. His area of research currently is focused on the financial sustainability and economics of auditory osseointegrated implants and cochlear implants.
Dr. Brian J. McKinnon, MD, MBA, FACS Associate, Shea Ear Clinic Associate Clinical Professor, Otology/Neurotology, Department of Otolaryngology-Head & Neck Surgery, University of Tennessee Health Sciences Center, Memphis, Tennessee, USA 12 | Abstracts BAHS Summit of the Americas
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About Oticon Medical Because Sound Matters Oticon Medical is a global company in implantable hearing solutions, dedicated to bringing the magical world of sound to people at every stage of life. As a member of one of the world’s largest groups of hearing health care companies, we share a close link with Oticon and direct access to the latest advancements in hearing research and technologies. Our competencies span more than a century of innovations in sound processing and decades of pioneering experience in hearing implant technology. By working collaboratively with patients, physicians and hearing care professionals, we ensure that every solution we create is designed with user needs in mind. We share an unwavering commitment to provide innovative solutions and support that enhance quality of life for people wherever life may take them. Because we know how much sound matters.
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