Abstract
The osteointegration phase of BAHA® fixture was assessed via electrical impedance spectroscopy in BAHA® implantees. Measurements were carried out by using a prototype device and were correlated with previously published histological data obtained at certain times after surgery, i.e. 1–2 days, 1 week, 1 and 3 months. Module variations of impedance spectra were found to be in agreement with the different pathophysiological conditions of bone ingrowth. The proposed methodology has shown to be promisingly reliable to properly monitor BAHA fixture osteointegration.
References
1.
Albrektsson T, Branemark PI, Hansson HA, Kaserno B, Larsson K, Lundström I, McQueen D, Skalak R: The interface zone of inorganic implants in vivo: titanium implants in bone. Ann Biomed Eng 1983;11:1–27.
2.
Arpaia P, Clemente F, Zanesco A: Low-invasive diagnosis of metallic prosthesis osteointegration by electrical impedance spectroscopy. IEEE Trans Instrum Meas 2007a;56:784–789.
3.
Arpaia P, Cimmino P, Clemente F, Romanucci C: In vivo test procedure and instrument characterization for EIS-based diagnosis of prosthesis osteointegration. Instrumentation and Measurement Technology Conference, Warsaw, May 1–3 2007b.
4.
Arpaia F, Clemente F, Romanucci C: An instrument for prosthesis osseointegration assessment by electrochemical impedance spectrum measurement. Measurement 2008;41:1040–1044.
5.
Barsoukov E, MacDonald JR: Impedance Spectroscopy. Theory, Experiment and Application (ed 2), Wiley Interscience Publication, 2005.
6.
Berglundh T, Abrahamsson I, Lang NP, Lindhe J: De novo alveolar bone formation adjacent to endosseous implants. Clin Oral Implants Res 2003;14:251–262.
7.
Dario LJ, Cucchiario PJ, Deluzio AJ: Electronic monitoring of dental implant osseointegration. J Am Dent Assoc 2002;133:483–490.
8.
Faes TJC, Van der Meij HA, de Munck JC, Heethaar RM: The electric resistivity of human tissues (100 Hz – 10 MHz): a meta-analysis of review studies. Physiol Meas 1999;20:R1–R10.
9.
Fini M, Giavaresi G, Torricelli P, Borsari V, Giardino R, Nicolini A, Carpi A: Osteoporosis and biomaterial osteointegration. Biomed Pharmacother 2004;58:487–493.
10.
Franchi M, Fini M, Giavaresi G, Ottani V: Peri-implant osteogenesis in health and osteoporosis – Review. Micron 2005a;36:630–644.
11.
Franchi M, Fini M, Martini P, Orsini E, Leonardi L, Ruggeri A, Giavaresi G, Ottani V: Biological fixation of endosseous implants. Micron 2005b;36:665–671.
12.
Hol MK, Snik AF, Mylanus EA, Cremers CW: Does the bone-anchored hearing aid have a complementary effect on audiological and subjective outcomes in patients with unilateral conductive hearing loss? Audiol Neurootol 2005;10:159–168.
13.
International Electrotechnical Commission: Standard IEC 60601–1 – Medical electrical equipment. 1. General requirements for basic safety and essential performance, 2005.
14.
Kienapfel H, Sprey C, Wilke A, Griss P: Implant fixation by bone ingrowth. J Arthroplast 1999;14:355–368.
15.
Krizaj D, Jan J, Valencic V: Numerical computation of impedance of a human tooth for estimation of the root canal length. IEEE Trans Biomed Eng 2002;49:746–748.
16.
Pacifici L, Casella F, Ripari M: Principi di ingegneria tissutale: fattori di crescita e rigenerazione ossea. Minerva Stomatol 2002;51:351–359.
17.
Sheehan PZ, Hans PS: UK and Ireland experience of bone-anchored hearing aids (BAHA®) in individuals with Down syndrome. Int J Pediatr Otorhinolaryngol 2006;70:981–986.
18.
Sierpowska J, Lammi MJ, Hakulinen MA, Jurvelin JS, Lappalainen R, Töyräs J: Effect of human trabecular bone composition on its electrical properties. Med Eng Phys 2007;29:845–852.
19.
Songer JE, Luckoor S, Kun S: Selection of optimal electrodes for clinical impedance spectroscopic measurements. J Clin Eng 2001;26:190–199.
20.
Webster JG: Bioelectrodes. Encyclopedia of Medical Devices and Instrumentation. New York, Wiley & Sons, 1988, pp 195–226.
21.
Yellon RF: Bone-anchored hearing aid in children – prevention of complications. Int J Pediatr Otorhinolaryngol 2007;71:823–826.
22.
Valentinuzzi ME, Morucci JP, Rigaud B, Felice CJ, Chauveau N, Marsili PM: Bioelectrical impedance techniques in medicine. Crit Rev Biomed Eng 1996;24:224–681.
23.
Vanecloo FM, Ruzza I, Hanson JN, Gèrard T, Dehaussy J, Cory M, Arrouet C, Vincent C: The monaural pseudo-stereophonic hearing aid (BAHA) in unilateral total deafness: a study of 29 patients. Rev Laryngol Otol Rhinol (Bord) 2001;122:343–350.
© 2010 S. Karger AG, Basel
2010
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