Tag Archives: abutment surgery

Presidential Perspective

Why won’t good bone conduction candidates get implanted?

One of the most common challenges our hearing care professionals face is encouraging patients to undergo surgery to implant the Ponto™ implant system. It is understandable that many individuals balk when they hear the word “surgery,” particularly if they are parents of children old enough to be implanted. From my substantial experience in medical device sales, I’ve learned that the best way to overcome user objections is with facts. Fortunately, when it comes to minimally invasive Ponto surgery (MIPS), we have substantial data on the benefits of wearing processors on an abutment.

With that in mind, here are five of the most common objections to having minimally invasive Ponto surgery (MIPS) and our suggested responses.

Objection 1: I don’t want to have general anesthesia.

As any credible medical professional will tell you, there is always some risk associated with general anesthesia. Parents often express this concern with regards to their child undergoing implantation. You can help your patient (or their parent) feel better about undergoing the procedure by explaining that MIPS usually only takes about 15-30 minutes and is often performed using other types of anesthesia. In many cases, the procedure may not even be done in a hospital.

Objection 2: If I don’t need surgery for the Ponto to work, then why should I have it?

While it is true that patients who wear their Ponto processor on a softband still receive hearing benefits, implantation increases these benefits significantly. You can explain that when worn on an abutment your patient can expect better results. The Ponto on an abutment uses Direct Sound Transmission, which prevents sound dampening—a common issue with magnet and softband systems. It also allows Ponto devices to reproduce a greater variety of sounds. The sound waves are mechanical, and the signal is transmitted with minimal loss when the source of the signal and its receiver are directly connected by a conductor like our titanium implant. In comparison, sound transmission from a processor on a softband results in signal loss, as it transmits through skin, fascia, and other tissue on its way to the bone.

You can also show your patient this video to illustrate the differences between hearing through a Ponto on a softband vs. an abutment.

Objection 3:  I don’t want to lose time recovering from surgery.

Nobody wants to take significant time away from work or their home/social life for a long surgical recovery. Fortunately, you can reassure your patient that this is a small, usually outpatient procedure with an expectation of same-day admission and release. This is particularly true when utilizing the MIPS or MONO drill technique, which further simplifies treatment and reduces surgical time and the risks associated with surgery. In most cases, it takes no more than a day or two to recover from the procedure. After surgery, the patient can expect to wear a bandage or other protective covering for a couple of days during which time the biggest inconvenience will be not washing their hair.

Objection 4:  I don’t want to risk any potential side effects or negative outcomes.

Although there is never zero risk of side effects or other issues from any kind of surgery, you can reassure your patient by explaining that this is a minimally invasive technique that eliminates the need for suturing by using a smaller incision. This allows for fast recovery and fewer complications. In 95 percent of follow-up visits, no skin-related aftercare treatment was required. Plus there is a 98 percent implant survival rate with the Ponto implants.[1]

As for cosmetic concerns, MIPS was designed to avoid the need for stitches, which reduces scarring and allows the patient’s hair to grow back as it was before surgery.

Objection 5:  I don’t want the expense of a surgical procedure.

This one can be tricky, as coverage for any surgical procedure will vary depending on the kind of insurance your patient has. You can feel free to contact your Oticon Medical representative for general guidance on insurance coverage or you can direct your patients on a case-by-case basis to contact their insurance company directly or speak to our Insurance Support Team to find out what their insurer will or won’t cover.

Have you run into these objections or others when it comes to bone anchored implantation surgery? Share what you’ve heard and how you’ve managed them in the comments below! And if you need more advice on counseling your patients for PONTO MIPS procedures, please contact your Oticon Medical representative.

[1] Lagerkvist H, et al. Ten years’ experience with the Ponto bone anchored hearing system – a systematic literature review. Clin Otolaryngol 2020 Sep; 45(5): 667–680.

Presidential Perspective

Successful Hearing Healthcare: It’s All About the Patient Experience

There are so many different pieces of advice, best practices, tips, and tricks for clinicians out in the zeitgeist, you’ve probably heard or read them all. From my perspective, they all boil down to the patient experience. If you provide patients with a superior experience working with you during each stage of their hearing treatment process, success will follow naturally.

When it comes to defining patient experience, I default to the Golden Rule: treat others the way you would want to be treated. In this scenario, begin by putting yourself in your patient’s shoes.  They have lived at least part of their life with little to no hearing and experienced its associated hardships—struggling to keep up with conversations, falling behind in school or at work, and feeling fatigued every night after straining to hear all day. Yet you are leery of treating your hearing loss with a bone anchored hearing system (BAHS) because it involves surgery, you aren’t sure if your insurance will cover it, and all of the other standard objections.

Now ask yourself: how you would want to be treated by your hearing care professional during your journey to better hearing?

Starting down the path to improved hearing

We are fortunate here at Oticon Medical to have an engaged and informative team of patient advocates who have shared their experiences—positive and negative—in detail over the years. What I have learned from them is the following:

  • Patients want their hearing care professional to get to know them as a person with unique experiences related to their hearing loss, not just as the next appointment on someone’s schedule
  • They want you to provide as much information about each treatment option as possible, not just be handed a list of potential solutions and expected to do their own research
  • They want to know they can depend on you and the manufacturer of their selected device for continued support, not only immediately after implantation and activation, but for as long as they have their BAHS
  • They want to know they can afford the surgery, the device, and their visits to you pre- and-post implantation. Willingness to work with them to arrange financing and being able to help them understand their insurance coverage options will help you stand out from your competition
  • They want you to be clear, realistic, and honest about the pros and cons of bone anchored hearing with regards to the surgical procedure, the device, and post-implant expectations

A common goal makes Oticon Medical your partner of choice

When you and your patient select a Ponto BAHS, you get more than a highly effective product that requires only minimally invasive surgery. You get a partner in helping you provide the excellent customer service your patient expects and deserves. We also believe in getting to know our Ponto users making them feel like part of an extended Oticon Medical family by offering our advocacy program, online support groups, put them in touch with current wearers, and much more. We provide clear and detailed information about our products and services on our website and in brochures and guides so that your patients can quickly and easily get their questions answered about life with a Ponto.

Our Customer Service Team is available from 8 am to 8pm Eastern Time daily to support patients for as long as they have their Ponto device, and additional support can be requested through email 24/7 or through social media by sending direct messages to us via Facebook, or as members of Oticon Medical Friends.

We also have an Insurance Support Team that can help users find out what their insurer covers, either private or Medicare/Medicaid, and assist them with filling in all the paperwork required to get their surgery and Ponto device.

Now introducing an even better patient surgical experience: MONO

As for the surgical procedure itself, we have introduced the world’s first one-step drilling procedure for BAHS: the MONO treatment for adults 18 years of age and older. Our unique drill allows you to create a complete osteotomy in a single step. This groundbreaking new procedure offers your patients excellent aesthetic outcomes and fast recovery times.1,2 MONO can also help improve your procedural efficiency by reducing the number of instruments and implant components needed in the procedure. With the tailor-made MONO Surgery Kit, your staff will find it easy to prepare for and handle implant installation. And clinics that already use the minimally invasive MIPS technique have reported reduced surgical time, staffing, and running costs.3

You can book a demonstration of the MONO drill and find out how it can benefit you and your procedural efficiency today!

References

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1. Caspers CJI, et al. A clinical evaluation of minimally invasive Ponto surgery with a modified drill system for inserting bone anchored hearing implants. Accepted in Otol Neurotol 2020.
2. Holmes S, et al. Tissue preservation techniques for bone anchored hearing aid surgery. Otol Neurotol. 2021; Publish Ahead of Print.
3. Sardiwalla Y, et al. Direct cost comparison of minimally invasive punch technique versus traditional approaches for percutaneous bone anchored hearing devices. J. Otolaryngol Head Neck Surg. 2017;46(1):46.