Baha as a Possible Solution for Single-sided Deafness


Authors: J. Bouček 1;  J. Vokřál 2;  L. Černý 2;  M. Chovanec 3;  Z. Čada 1;  M. Zábrodský 1;  E. Zvěřina 1;  J. Betka 1;  J. Skřivan 4
Authors‘ workplace: Klinika otorinolaryngologie a chirurgie hlavy a krku 1. LF UK a FN v Motole, Praha 1;  Foniatrická klinika 1. LF UK a VFN v Praze 2;  Klinika otorinolaryngologická 3. LF UK a FN Královské Vinohrady, Praha 3;  Klinika ušní, nosní a krční 2. LF UK a FN v Motole, Praha 4
Published in: Cesk Slov Neurol N 2016; 79/112(3): 324-330
Category: Short Communication

Overview

Aim:
To summarize data for the Baha (Bone anchored hearing aid) implantable hearing system based on the principle of bone conduction for the single-sided deafness (SSD) compensation, regardless of aetiology that may be congenital, vascular (Sudden Sensorineural Hearing Loss; SSNHL), infectious, traumatic, tumorous or iatrogenous.

Patients and methodology:
59 patients with an SSD were examined between September 2010 and August 2014 and included into the study. The SSD aetiology included sudden hearing loss, temporal bone fracture, ototoxic effects of a treatment, chronic otitis and a growing vestibular schwannoma.

Results:
All patients were tested for the effect by the Baha Softband and 23 decided to undergo the surgery. During the entire course of the study, three generations of the Baha implants were used (BI300, BIA400, Attract) without any intraoperative or postoperative complications. The effectivity of the Baha system was shown during testing of a sentence comprehension in noise, with a significant improvement after six weeks and one year respectively. In this testing, the signal was coming to the deaf side and noise to the hearing side, on a loudness level of 65 dB SPL and 70 dB SPL, respectively.

Conclusion:
Baha represents an effective option for correction of patients with SSD. Patients should be offered to test an implantable and/or non-surgical options for compensation as part of routine care for patients with single-sided deafness.

Key words:
single-sided deafness – Baha – Softband – hearing in noise test

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.


Sources

1. Tjel­lstrom A, Lindstrom J, Hal­len O, et al. Os­seointegrated titanium implants in the temporal bone. A clinical study on bone-anchored hear­ing aids. Am J Otol 1981;2(4):304–10.

2. Shaw EA. Transformation of sound pres­sure level from the free field to the eardrum in the horizontal plane. J Acoust Soc Am 1974;56(6):1848–61.

3. Litovsky RY. Binaural hearing. Cochlear white papars 2008. [online]. Available from URL: http://www.cochlear.com/wps/wcm/connect/48d02c0b-bca2-4df4-8b17-aa1c192e1967/Litovsky+white+paper_Binaural+hear­ing.pdf.

4. Giolas TG, Wark DJ. Com­munication problems as­sociated with unilateral hear­ing los­s. J Speech HearDisord 1967;32(4):336–43.

5. Hausler R, Colburn S, Marr E. Sound localization in subjects with impaired hearing. Spatial-discrimination and interaural-discrimination tests. Acta Otolaryngol Suppl 1983;400:1–62.

6. Harford E, Bar­ry J. A rehabilitative approach to the problem of unilateral hear­ing impairment: the contralateral rout­ing of signals cros. J Speech Hear Disord 1965;30: 121–38.

7. Bosman AJ, Hol MK, Snik AF, et al. Bone-anchored hear­ing aids in unilateral in­ner ear deafnes­s. Acta Otolaryngol 2003;123(2):258–60.

8. Wazen JJ, Spitzer JB, Ghos­saini SN, et al. Transcranial contralateral cochlear stimulation in unilateral deafnes­s. Otolaryngol Head Neck Surg 2003;129(3):48–54.

9. Newman CW, Sandridge SA, Wodzisz LM. Longitudinal benefit from and satisfaction with the Baha system for patients with acquired unilateral sensorineural hear­ing los­s. Otol Neurotol 2008;29(8):1123–31. doi: 10.1097/MAO.0b013e31817dad20.

10. Niparko JK, Cox KM, Lustig LR. Comparison of the bone anchored hear­ing aid implantable hear­ing device with contralateral rout­ing of of­fside signal amplification in the rehabilitation of unilateral deafnes­s. Otol Neurotol 2003;24(1):73–8.

11. Andersen HT, Schroder SA, Bond­ing P. Unilateral deafness after acoustic neuroma surgery: subjective hear­ing handicap and the ef­fect of the bone-anchored hear­ing aid. Otol Neurotol 2006;27(6):809– 14.

12. Snik AF, Mylanus EA, Proops DW, et al. Consensus statements on the BAHA system: where do we stand at present? Ann Otol Rhinol Laryngol Suppl 2005;195:2–12.

13. Vaneecloo FM, Ruzza I, Hanson JN, et al. The monaural pseudo-stereophonic hear­ing aid (BAHA) in unilateral total deafnes­s: a study of 29 patients. Rev Laryngol Otol Rhinol (Bord), 2001;122(5):343– 50.

14. Boucek J, Chovanec M, Vokral J, et al. Baha as a Solution for Single-sided Deafness after Vestibular Schwan­noma Surgery. Cesk Slov Neurol N 2012;75/108(5):602– 5.

15. Stewart CM, Clark JH, Niparko JK. Bone-anchored devices in single-sided deafnes­s. Adv Otorhinolaryngol 2011;71:92– 102. doi: 10.1159/000323589.

16. Wazen JJ, Van Ess MJ, Alameda J, et al. The Baha system in patients with single-sided deafness and contralateral hear­ing los­s. Otolaryngol Head Neck Surg 2010;142(4):554–9. doi: 10.1016/j.otohns.2009.12.047.

17. Faber HT, de Wolf MJ, Cremers CW, et al. Benefit of Baha in the elderly with single-sided deaf­nes­s. Eur Arch Otorhinolaryngol 2013;270(4):1285– 91. doi: 10.1007/s00405-012-2151-z.

18. den Besten CA, Harterink E, McDermott AL, et al. Clinical results of Cochlear BIA300 in children: experience in two tertiary refer­ral centers. Int J Pediatr Otorhinolaryngol 2015;79(12):2050– 5. doi: 10.1016/j.ijporl.2015.09.010.

19. Baker S, Centric A, Chen­nupati SK. In­novation in abutment-free bone-anchored hear­ing devices in children: updated results and experience. Int J Pediatr Otorhinolaryngol 2015;79(10):1667– 72. doi: 10.1016/j.ijporl.2015.07.021.

20. Arndt S, Aschendorff A, Laszig R, et al. Comparison of pseudobinaural hear­ing to real binaural hear­ing rehabilitation after cochlear implantation in patients with unilateral deafness and tin­nitus. Otol Neurotol 2011;32(1):39–47. doi: 10.1097/MAO.0b013e3181fcf271.

21. Pfif­fner F, Kompis M, Flynn M, et al. Benefits of low-frequency attenuation of baha(R) in single-sided sensorineural deafnes­s. Ear Hear 2011;32(1):40–5. doi: 10.1097/AUD.0b013e3181ecd002.

22. Kompis M, Pfif­fner F, Krebs M, et al. Factors influenc­ing the decision for Baha in unilateral deafnes­s: the Bern benefit in single-sided deafness question­naire. Adv Otorhinolaryngol 2011;71:103–11. doi: 10.1159/000323591.

23. Dun CA, de Wolf MJ, Hol MK, et al. Stability, survival, and tolerability of a novel baha implant system: six-month data from a multicenter clinical investigation. Otol Neurotol 2011;32(6):1001–7. doi: 10.1097/MAO.0b013e3182267e9c.

24. Zarowski AJ, Verstraeten N, Somers T, et al. Headbands, testbands and softbands in preoperative test­ing and application of bone-anchored devices in adults and children. Adv Otorhinolaryngol 2011;71:124–31. doi: 10.1159/000323728.

25. Dun CA, de Wolf MJ, Mylanus EA, et al. Bilateral bone-anchored hear­ing aid application in children: the Nij­megen experience from 1996 to 2008. Otol Neurotol 2010;31(4):615–23. doi: 10.1097/MAO.0b013e3181dbb37e.

26. Verhagen CV, Hol MK, Coppens-Schel­lekens W, et al. The Baha Softband. A new treatment for young children with bilateral congenital aural atresia. Int J Pediatr Otorhinolaryngol 2008;72(10):1455–9. doi: 10.1016/j.ijporl.2008.06.009.

27. Nelis­sen RC, Mylanus EA, Cremers CW, et al. Long-term compliance and satisfaction with percutaneous bone conduction devices in patients with congenital unilateral conductive hear­ing los­s. Otol Neurotol 2015;36(5):826–33. doi: 10.1097/MAO.0000000000000765.

28. Martin TP, Lowther R, Cooper H, et al. The bone-anchored hear­ing aid in the rehabilitation of single-sided deafnes­s: experience with 58 patients. Clin Otolaryngol 2010;35(4):284–90. doi: 10.1111/j.1749-4486.2010.02177.x.

29. Berenholz LP, Burkey JM, Lippy WH. Use of a bone-anchored hear­ing aid for functional single-sided deafnes­s. Otolaryngol Head Neck Surg 2007;137(3):522–3.

Labels
Paediatric neurology Neurosurgery Neurology

Article was published in

Czech and Slovak Neurology and Neurosurgery

Issue 3

2016 Issue 3

Most read in this issue

This topic is also in:


Login
Forgotten password

Don‘t have an account?  Create new account

Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account