array:24 [ "pii" => "S2173573514000805" "issn" => "21735735" "doi" => "10.1016/j.otoeng.2012.11.017" "estado" => "S300" "fechaPublicacion" => "2014-07-01" "aid" => "463" "copyright" => "Elsevier España, S.L.U.. All rights reserved" "copyrightAnyo" => "2012" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "crp" "cita" => "Acta Otorrinolaringol Esp. 2014;65:261-2" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1889 "formatos" => array:3 [ "EPUB" => 34 "HTML" => 978 "PDF" => 877 ] ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0001651913000319" "issn" => "00016519" "doi" => "10.1016/j.otorri.2012.11.009" "estado" => "S300" "fechaPublicacion" => "2014-07-01" "aid" => "463" "copyright" => "Elsevier España, S.L. y Sociedad Española de Otorrinolaringología y Patología Cérvico-Facial" "documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Acta Otorrinolaringol Esp. 2014;65:261-2" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1811 "formatos" => array:3 [ "EPUB" => 49 "HTML" => 1106 "PDF" => 656 ] ] "es" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Caso clínico</span>" "titulo" => "Osteoporosis y complicaciones en implantes auditivos. Análisis de 2 casos" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "261" "paginaFinal" => "262" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Osteoporosis and complications in hearing implants. Analysis of two cases" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Claudia Heider, Gloria Ribalta, Karin Krauss" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Claudia" "apellidos" => "Heider" ] 1 => array:2 [ "nombre" => "Gloria" "apellidos" => "Ribalta" ] 2 => array:2 [ "nombre" => "Karin" "apellidos" => "Krauss" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2173573514000805" "doi" => "10.1016/j.otoeng.2012.11.017" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173573514000805?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001651913000319?idApp=UINPBA00004N" "url" => "/00016519/0000006500000004/v1_201407050126/S0001651913000319/v1_201407050126/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S2173573514000817" "issn" => "21735735" "doi" => "10.1016/j.otoeng.2013.01.003" "estado" => "S300" "fechaPublicacion" => "2014-07-01" "aid" => "465" "copyright" => "Elsevier España, S.L.U." "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "crp" "cita" => "Acta Otorrinolaringol Esp. 2014;65:263-5" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2116 "formatos" => array:3 [ "EPUB" => 45 "HTML" => 1292 "PDF" => 779 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case study</span>" "titulo" => "Chorda Tympani Neuroma" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "263" "paginaFinal" => "265" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Neurinoma de la cuerda del tímpano" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 729 "Ancho" => 1500 "Tamanyo" => 156186 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(a) Otoscopy image showing a mass that protrudes in the posterior–superior section of the right ear. (b) Coronal and (c) axial cuts of a bone series from computed axial tomography showing a lesion that occupies the meso and epitympanic areas, and that surrounds the ossicular chain.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Jose Ignacio Undabeitia, Jose Undabeitia, Luis Padilla, Antonio Municio" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Jose Ignacio" "apellidos" => "Undabeitia" ] 1 => array:2 [ "nombre" => "Jose" "apellidos" => "Undabeitia" ] 2 => array:2 [ "nombre" => "Luis" "apellidos" => "Padilla" ] 3 => array:2 [ "nombre" => "Antonio" "apellidos" => "Municio" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0001651913000332" "doi" => "10.1016/j.otorri.2013.01.005" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001651913000332?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173573514000817?idApp=UINPBA00004N" "url" => "/21735735/0000006500000004/v1_201408141153/S2173573514000817/v1_201408141153/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2173573514000738" "issn" => "21735735" "doi" => "10.1016/j.otoeng.2013.01.002" "estado" => "S300" "fechaPublicacion" => "2014-07-01" "aid" => "456" "copyright" => "Elsevier España, S.L.U." "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "crp" "cita" => "Acta Otorrinolaringol Esp. 2014;65:258-60" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 3768 "formatos" => array:3 [ "EPUB" => 46 "HTML" => 2679 "PDF" => 1043 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case Study</span>" "titulo" => "Cerebellar Ataxia With Neuropathy and Bilateral Vestibular Areflexia Syndrome (CANVAS) in an Imbalance Patient" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "258" "paginaFinal" => "260" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "El síndrome de ataxia cerebelosa con neuropatía y arreflexia vestibular bilateral como explicación de una inestabilidad progresiva incapacitante" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 799 "Ancho" => 1762 "Tamanyo" => 130407 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Left: study of the vestibular ocular reflex with vHIT (Otometrics<span class="elsevierStyleSup">®</span>) which reveals low gains and the appearance of open and covert saccades. Right: disorder of slow and optokinetic tracking (Ullmer-Synapsis<span class="elsevierStyleSup">®</span>).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Jesús J. Benítez del Rosario, María Elvira Santandreu Jiménez, Manuel Lousa Gayoso" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Jesús J." "apellidos" => "Benítez del Rosario" ] 1 => array:2 [ "nombre" => "María Elvira" "apellidos" => "Santandreu Jiménez" ] 2 => array:2 [ "nombre" => "Manuel" "apellidos" => "Lousa Gayoso" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0001651913000241" "doi" => "10.1016/j.otorri.2013.01.002" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001651913000241?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173573514000738?idApp=UINPBA00004N" "url" => "/21735735/0000006500000004/v1_201408141153/S2173573514000738/v1_201408141153/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case Study</span>" "titulo" => "Osteoporosis and Complications in Hearing Implants. Analysis of Two Cases" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "261" "paginaFinal" => "262" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Claudia Heider, Gloria Ribalta, Karin Krauss" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Claudia" "apellidos" => "Heider" ] 1 => array:4 [ "nombre" => "Gloria" "apellidos" => "Ribalta" "email" => array:1 [ 0 => "gribalta@clc.cl" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 2 => array:2 [ "nombre" => "Karin" "apellidos" => "Krauss" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Departamento de Otorrinolaringología, Clínica Las Condes, Santiago, Chile" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Osteoporosis y complicaciones en implantes auditivos. Análisis de 2 casos" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Clinical Case</span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Case 1</span><p id="par0005" class="elsevierStylePara elsevierViewall">We present the case of a premature female patient, carrier of profound bilateral congenital sensorineural hearing loss. At 16 months a <span class="elsevierStyleItalic">Nucleus Contour Advance</span> was implanted in the right ear using posterior tympanotomy with opening of the facial recess and minimum drilling of the back wall of the external auditory canal (EAC). At the second year of evolution cholesteatoma became evident in the EAC, entering the mastoid bone through its posterior wall. The patient was operated on again, cleaning mastoid cavity and reinforcing the back wall of the EAC with cartilage from the tragus. She was admitted to the hospital at 5 months’ postoperative for metabolic decompensation; the diagnosis was nephropathy with loss of potassium and calcium and secondary osteoporosis (Bartter syndrome). After 2 years of follow-up and treatment of her nephropathy, there has been no recurrence of cholesteatoma.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Case 2</span><p id="par0010" class="elsevierStylePara elsevierViewall">This was a premature female patient with association of CHARGE syndrome and severe bilateral mixed congenital hearing loss, equipped with hearing aids. When she was 4 years old, she developed bilateral tympanic atelectasis, which was resolved with reinforcement tympanoplasty and bilateral T tubes. She progressed with frequent bouts of otorrhea, so a 3-mm osseointegrated Baha Flange Fixture St<span class="elsevierStyleSup">®</span> was implanted in 2 stages in the left ear at the age of 6. After 6 months for osteointegration, the bone conduction vibrator was put into place. Following 8 months of use and after a blow to the skull, extrusion of the titanium screw occurred. The dormant screw, which had 1 year and 2 months of osseointegration, was then used. Spontaneously, a new extrusion occurred after 1 year of use. She was assessed by an endocrinologist, who diagnosed protein malnutrition and osteoporosis, in the context of a mother that was a vegetarian and a naturopathic paediatrician. Protein reinforcement and decalcification treatment were administered for 2 years before attempting the use of the Baha<span class="elsevierStyleSup">®</span> again; this is still not complete at the present time.</p></span></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Discussion</span><p id="par0015" class="elsevierStylePara elsevierViewall">Between 3% and 6% of implantable auditory prostheses (IAP) can present complications such as extrusion. This condition reaches 0.1% in cochlear implants and from 5% to 30% in Baha<span class="elsevierStyleSup">®</span>.<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1,2</span></a> Among the causes of extrusion, osteointegration failure is notable. Children constitute the subgroup with greatest loss of implants due to their thin skull with lesser bone content.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> Prematurity, craniofacial dysmorphism, the use of corticoids, parenteral nutrition, and prolonged stays in intensive care units (ICU) affect the bone structure and aggravate the problem.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">Petrous temporal bone computed tomography (PTBCT) shows the anatomy of the ear to be operated, but gives no indication of bone mineral density (BMD). Up to 40% loss of density can exist without any evidence on the PTBCT.</p><p id="par0025" class="elsevierStylePara elsevierViewall">The BMD varies with age, so it is difficult to establish in paediatric cases. There are various techniques to measure it and the method of choice is dual energy X-ray absorptiometry (DXA, or DEXA, the anagram in English) because of its reproducibility, quickness, and low radiation exposure. However, this test ignores bone thickness (which varies in all dimensions during growth), underestimates BMD in short patients and lacks reference values for specific populations such as infants and ethnic groups. The DXA can be difficult to perform in younger infants and, consequently, its use is recommended from the age of 1 year.</p><p id="par0030" class="elsevierStylePara elsevierViewall">Osteoporosis in children is defined as a loss of bone mass and deterioration of the bone microstructure, with a BMD <span class="elsevierStyleItalic">Z</span>-score less than 2 standard deviations associated with antecedents of fractures.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> It should be remembered that up to 88% of osteoporosis cases are incorrectly diagnosed if the DXA is not interpreted by trained professionals.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">Considering all this, especially with younger infants, it is essential to use biochemical parameters such as alkaline phosphatase, calcium, phosphorous, parathormone, and vitamin D,<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> which assess the metabolic characteristics of bone interpreted according to age and sex.</p><p id="par0040" class="elsevierStylePara elsevierViewall">Given that the accretion of nutrients such as calcium and phosphorous mainly occurs in the third trimester of intrauterine life, osteoporosis is a condition present in practically all premature babies. In these cases, a serial control of biochemical parameters and prevention of osteoporosis through fortified milk and vitamin supplements are recommended.<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a></p><p id="par0045" class="elsevierStylePara elsevierViewall">Analysing the BMD in children that are candidates for IAP becomes even more important due to the greater incidence of osteoporosis in patients with antecedents of prematurity, craniofacial malformations, and prolonged hospital stays in the ICU. Osteoporosis can remain undetected in clinical findings and in imaging results, making it necessary to be on the watch for it. It is essential to have a detailed clinical history that allows the search for risk factors and to investigate vitamin supplementation. Biochemical assessment should be requested early, ideally at the third month after birth, to initiate treatment of osteoporosis before surgery for an implantable prosthesis.</p><p id="par0050" class="elsevierStylePara elsevierViewall">Management should be multidisciplinary, among the otorhinolaryngologist, the paediatrician, and the child endocrinologist, to prevent these complications.</p><p id="par0055" class="elsevierStylePara elsevierViewall">In the case of older children, the possible presence of osteoporosis should always be investigated when there are bone complications in the prosthesis.</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conflict of Interests</span><p id="par0060" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:4 [ 0 => array:3 [ "identificador" => "sec0005" "titulo" => "Clinical Case" "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0010" "titulo" => "Case 1" ] 1 => array:2 [ "identificador" => "sec0015" "titulo" => "Case 2" ] ] ] 1 => array:2 [ "identificador" => "sec0020" "titulo" => "Discussion" ] 2 => array:2 [ "identificador" => "sec0025" "titulo" => "Conflict of Interests" ] 3 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2012-09-05" "fechaAceptado" => "2012-11-30" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Heider C, Ribalta G, Krauss K. Osteoporosis y complicaciones en implantes auditivos. Análisis de 2 casos. Acta Otorrinolaringol Esp. 2014;65:261–262.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prótesis auditivas implantables ¿en qué estamos al 2009?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "G. Ribalta" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Rev Med Clin Condes" "fecha" => "2009" "volumen" => "20" "paginaInicial" => "441" "paginaFinal" => "447" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Complications of bone-anchored hearing devices" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J.J. Wazen" 1 => "B. Wycherky" 2 => "J. Daugherty" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1159/000323583" "Revista" => array:6 [ "tituloSerie" => "Adv Otorhinolaryngol" "fecha" => "2011" "volumen" => "71" "paginaInicial" => "63" "paginaFinal" => "72" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21389706" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Enfrentamiento clínico de la osteoporosis en el niño" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "M.I. Hernández" 1 => "E. Talesnik" 2 => "C. García" 3 => "M.L. Reyes" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Rev Chil Pediatr" "fecha" => "2003" "volumen" => "74" "paginaInicial" => "568" "paginaFinal" => "577" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Clinical report—bone densitometry in children and adolescents" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "L.K. Bachrach" 1 => "I.N. Sills" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1542/peds.2010-2961" "Revista" => array:6 [ "tituloSerie" => "Pediatrics" "fecha" => "2011" "volumen" => "127" "paginaInicial" => "189" "paginaFinal" => "194" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21187316" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Densidad mineral ósea en escolares nacidos prematuros" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "A. Milinarsky" 1 => "S. Fisher" 2 => "V. Giadrosich" 3 => "M.I. Hernandez" 4 => "M.T. Torres" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Rev Med Chile" "fecha" => "2003" "volumen" => "131" "paginaInicial" => "1289" "paginaFinal" => "1294" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14743690" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735735/0000006500000004/v1_201408141153/S2173573514000805/v1_201408141153/en/main.assets" "Apartado" => array:4 [ "identificador" => "5881" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Case Studies" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735735/0000006500000004/v1_201408141153/S2173573514000805/v1_201408141153/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173573514000805?idApp=UINPBA00004N" ]
Journal Information
Share
Download PDF
More article options
Case Study
Osteoporosis and Complications in Hearing Implants. Analysis of Two Cases
Osteoporosis y complicaciones en implantes auditivos. Análisis de 2 casos
Claudia Heider, Gloria Ribalta
, Karin Krauss
Corresponding author
Departamento de Otorrinolaringología, Clínica Las Condes, Santiago, Chile