In the present case we describe (to our knowledge) the previously unreported complication of epidural hematoma resulting from head trauma in a child with a bone-anchored hearing aid (BAHA) implant. Although rare, such a potentially devastating complication merits recognition in the literature because it has implications for preoperative counseling and patient consent. Specifically, parents of children undergoing BAHA surgery should be aware of the increased danger associated with trauma to the osseointegrated implant.
Axial computed tomographic scan depicting the depressed skull fracture site. The fracture is centered around the BAHA anchor. The second anchor is also visible inferior to the BAHA. The inset shows the anchor in epidural space.
Axial computed tomographic scan showing a large epidural hematoma surrounding the implant.
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