Faisal Zawawi1, Ghassan Kabbach1, Marie Lallemand1, Sam J Daniel2. 1. Department of Otolaryngology - Head and Neck Surgery, McGill University, Montreal, QC, Canada. 2. Department of Otolaryngology - Head and Neck Surgery, McGill University, Montreal, QC, Canada. Electronic address: sam.daniel@mcgill.ca.
Abstract
OBJECTIVE: Bone-anchored hearing aid (BAHA™) is a proven tool to improve hearing. Nevertheless, there are patients who are candidates for BAHA™ implants that end up refusing the surgery. The objective of this study is to review our BAHA™ experience with particular emphasis on reasons behind the refusal of some candidates. METHODS: A prospective cohort of 100 consecutive new candidates referred to The BAHA™ program in a tertiary health care center. Candidates' demographics, hearing status, Co-morbidities and audiometeric tests were all recorded. Patients' acceptance or refusal was noted alongside the reasons to refuse BAHA™. RESULTS: 100 new candidates were seen for BAHA™ assessment, 10 patients were excluded due to incomplete data. There were 68 children and 22 adults. Unilateral Conductive Hearing Loss was the most common reason for consultation (40%), followed by unilateral SNHL (23.3%). Aural Atresia was the commonest clinical finding (36.6%). The commonest reason for refusal was social acceptance by the parents due to concern with cosmesis. CONCLUSION: The main reason of BAHA™ surgery refusal, in otherwise eligible candidates, is related to cosmesis. Patients with congenital anomalies were the most likely candidates to accept BAHA™ implants.
OBJECTIVE: Bone-anchored hearing aid (BAHA™) is a proven tool to improve hearing. Nevertheless, there are patients who are candidates for BAHA™ implants that end up refusing the surgery. The objective of this study is to review our BAHA™ experience with particular emphasis on reasons behind the refusal of some candidates. METHODS: A prospective cohort of 100 consecutive new candidates referred to The BAHA™ program in a tertiary health care center. Candidates' demographics, hearing status, Co-morbidities and audiometeric tests were all recorded. Patients' acceptance or refusal was noted alongside the reasons to refuse BAHA™. RESULTS: 100 new candidates were seen for BAHA™ assessment, 10 patients were excluded due to incomplete data. There were 68 children and 22 adults. Unilateral Conductive Hearing Loss was the most common reason for consultation (40%), followed by unilateral SNHL (23.3%). Aural Atresia was the commonest clinical finding (36.6%). The commonest reason for refusal was social acceptance by the parents due to concern with cosmesis. CONCLUSION: The main reason of BAHA™ surgery refusal, in otherwise eligible candidates, is related to cosmesis. Patients with congenital anomalies were the most likely candidates to accept BAHA™ implants.
Authors: Pádraig T Kitterick; Gerard M O'Donoghue; Mark Edmondson-Jones; Andrew Marshall; Ellen Jeffs; Louise Craddock; Alison Riley; Kevin Green; Martin O'Driscoll; Dan Jiang; Terry Nunn; Shakeel Saeed; Wanda Aleksy; Bernhard U Seeber Journal: BMC Ear Nose Throat Disord Date: 2014-08-11
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