Osseointegrated Auditory Devices—Transcutaneous: Sophono and Baha Attract

© 2018 Elsevier Inc. Percutaneous osseointegrated bone conduction auditory devices provide excellent auditory rehabilitation. Device-related complications relate to skin abutment interface and cosmetic concerns, resulting in the development of transcutaneous devices. The Sophono and Baha Attract are safe and considered cosmetically superior to the percutaneous Baha Connect and Ponto. They provide excellent auditory enhancement; however, owing to indirect connectivity between processor and implant, there is on average 5- to 7-db less gain when compared with percutaneous bone-anchored implants. Surgical implantation of either device is usually performed under monitored sedation, in an ambulatory setting, with less than a 1-hour operative time, and minimal complications