BAHS: Recovery After Implantation

BAHS: Recovery After Implantation


A bone-anchored hearing system (BAHS) is a great option for children or adults who have a conductive hearing loss or single-sided deafness. For direct sound transmission with a BAHS, a minor procedure is necessary to insert an implant into the skull bone to allow incoming sound to travel directly to the inner ear via bone conduction.

The implant procedure for a BAHS can be performed under local anesthesia, is usually completed within the hour and in most cases the patient can return home safely the same day. To read more about the surgery itself, check out the BAHS Implant Procedure article.

Here, we will focus on the recovery portion of the procedure and ongoing maintenance.

Taking Care of Your Abutment

When considering undergoing a BAHS implant procedure, daily hygiene practices are a very important consideration as the exposed abutment will require ongoing cleaning and care.

After implantation

Depending on the type of procedure, a follow up visit may be scheduled within 7-10 days to remove the healing cap, dressing and stiches (if applicable). If you underwent a minimally invasive procedure (MIPS) in which no stiches were necessary, you may still be instructed to keep the healing cap on for 7-10 days. During this time try to keep the abutment site dry until the area is healed. You should be sent home with a care kit that contains the tools needed for you to keep your abutment site nice and clean!

After removing the healing cap, inspect the site around the abutment for any signs of infection. Although it is rare, if the site appears infected contact your doctor for medical advice. If the site looks well healed, you may use an abutment cleaning wipe to gently clean the area (may be included in your care kit – if not, avoid alcohol-based wipes).

Daily Cleaning of the Abutment Site

The skin around the abutment site needs to be thoroughly cleaned every day to remove debris. Using shampoo for hair washing will help to soften the debris and make it easier to remove. Use an extra soft cleaning brush or cotton swab to clean around the outside of the abutment. If you have two implants, make sure to use two separate brushes – one per side to avoid cross-contamination if an infection is present. You can start doing the cleaning procedure after few weeks of the surgery.

Make sure to cover the abutment site anytime you are using hair products that may contaminate the skin in the surrounding area (hair spray, dry shampoo, etc.).

If the abutment site begins to feel sore or itchy or appears to be irritated, contact your doctor for medical advice as soon as possible.

Daily cleaning of your abutment site should not be viewed as a difficult or time-consuming task. It is no different than brushing your teeth or washing your face ever-day. Just add the quick cleaning of the abutment site to your nightly routine and you shouldn’t have any issues!

Happy cleaning!

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