{
  "abstract": "Objective: The purpose of this single-centre retrospective study was to determine the long-term outcomes of the BIA400 and Ponto Wide, in terms of implant stability, soft tissue reactions, skin thickening and implant loss.\n\nMethods: Adults who had the BIA400 or Ponto Wide implanted between January 2013 and December 2023 and had at least two follow-up appointments were included, leading to a cohort of 93 BIA400 and 114 Ponto Wide implants.\n\nResults: Significantly more soft tissue reactions with a Holgers Scale score of 1 or greater (p = 0.003), adverse soft tissue reactions of Holgers Scale score of 2 or greater (p = 0.018), skin thickening (p < 0.001) and skin thickening requiring treatment (p ≤ 0.001) occurred in the BIA400 group. No difference in implant stability was found. One BIA400 implant (1.1 per cent) and three Ponto Wide implants (2.7 per cent) were lost.\n\nConclusion: Both implants have excellent implant stability and similar implant survival rates. The Ponto Wide has favourable outcomes in terms of (adverse) soft tissue reaction and skin thickening (requiring treatment).",
  "abstract_shown": true,
  "affiliations": [
    "Otorhinolaryngology, Deventer Hospital, Netherlands"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Florine de Haan",
      "orcid": "0009-0000-2997-7243"
    },
    {
      "affs": [
        0
      ],
      "name": "Jeroen Peters"
    },
    {
      "affs": [
        0
      ],
      "name": "Pauline van Kempen"
    },
    {
      "affs": [
        0
      ],
      "name": "Ruben Strijbos"
    },
    {
      "affs": [
        0
      ],
      "name": "Steven Bom"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/7cbx1x4rhmm00.bib",
  "cited_by": 1,
  "doi": "10.1017/s0022215126105027",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13735495/",
  "id": "7cbx1x4rhmm00",
  "issns": [
    "0022-2151",
    "1748-5460"
  ],
  "landing_url": "https://doi.org/10.1017/s0022215126105027",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Main Article"
    ],
    [
      "openalex",
      "2733|Ear Surgery and Otitis Media"
    ]
  ],
  "openalex": "W7164384419",
  "pdf_url": null,
  "pmcid": "PMC13735495",
  "pmid": "42272232",
  "published": "2026-11-06",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/7cbx1x4rhmm00.ris",
  "sources": [
    {
      "first_seen": "2026-11-09T12:21:10Z",
      "native_id": "PMC13735495",
      "source": "pmc",
      "url": "https://doi.org/10.1017/s0022215126105027"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2733|Ear Surgery and Otitis Media",
      "subfield": "general"
    }
  ],
  "title": "BIA400 versus Ponto Wide: a long-term retrospective analysis of implant stability, tolerability and survival in bone conduction devices",
  "title_text": "BIA400 versus Ponto Wide: a long-term retrospective analysis of implant stability, tolerability and survival in bone conduction devices",
  "type": "peer-reviewed",
  "updated_at": "2026-11-09T12:21:10Z",
  "url": "https://research.draconitic.com/paper/7cbx1x4rhmm00",
  "venue": "The Journal of Laryngology and Otology",
  "versions": []
}