Bone anchored hearing aid in children—Prevention of complications

BAHA results in children at one year follow-up: A prospective longitudinal study

“…Most authors report using a two-stage procedure for BAHA insertion in the pediatric population, citing the caution required given the thin temporal bone in these patients [1,2,[4][5][6][8][9][10][12][13][14][15][16][17][18][19]. However, the minor complications we encountered were not related to the single stage procedure.…”

“…The testing performed thus far included basic pure-tone average measures [5,[7][8][9][10][11], speech recognition thresholds [5,9,12], and hearing in noise testing [8]. Though these studies report a clinical follow-up of up to five years, none have systematically controlled audiometric tests beyond six months after BAHA insertion.…”

“…Several authors have reported favorable hearing results after BAHA implantation using conventional audiometric testing [5][6][7][8][9][10][11][12]. We designed this prospective longitudinal study to evaluate the performance of pediatric patients equipped with BAHA on a series of systematic tonal and vocal evaluations, with specific emphasis on speech discrimination in different sound environments with a minimum follow-up of one year.…”

Prospective blinded study of computed tomography in congenital aural atresia

“…BAHA should be used for those who are determined to have poor anatomy or for families that do not wish to undergo the long and more risky surgery of atresiaplasty. While hearing outcomes are usually better with BAHA [1,2] cosmesis is poor with a metal abutment and sound processor attached to the head and infections are not uncommon. For atresiaplasty, cosmesis very good, but surgery is relatively lengthy, and there are risks of sensorineural hearing loss, facial nerve injury, infections, and canal stenosis.…”

“…Since BAHA is low-risk, rapid, reliable method for hearing rehabilitation for congenital aural atresia [1,2], accurate assessment of temporal bone anatomy is important for determination of candidacy for atresiaplasty versus BAHA. In the present prospective blinded study, new and refined anatomic considerations are reported for a series of CT scans of temporal bones of children with CAA.…”