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Bone-Anchored Hearing Aids
       in Children
                 Mark Shaver, PhD, CCC­A
    Wichita State University / Summer 2012 / CSD 862
Overview

 ●
     Why Bone Conduction?
 ●
     What is a Bone­Anchored Hearing Aid?
 ●
     Indications
     ●
         Bilateral conductive or mixed hearing loss 
          –   cannot wear air conduction aid
          –   surgery unsuccessful/contraindicated
     ●
         Unilateral hearing loss
          –   Conductive or mixed
          –   Sensorineural (e.g., single­sided deafness)


                                                            2
Overview

 ●
     Why Bone Conduction?
 ●
     What is a Bone­Anchored Hearing Aid?
 ●
     Indications
     ●
         Bilateral conductive or mixed hearing loss 
          –   cannot wear air conduction aid
          –   surgery unsuccessful/contraindicated
     ●
         Unilateral hearing loss
          –   Conductive or mixed
          –   Sensorineural (e.g., single­sided deafness)


                                                            3
Overview

 ●
     Why Bone Conduction?
 ●
     What is a Bone­Anchored Hearing Aid?
 ●
     Indications
     ●
         Bilateral conductive or mixed hearing loss 
          –   cannot wear air conduction aid
          –   surgery unsuccessful/contraindicated
     ●
         Unilateral hearing loss
          –   Conductive or mixed
          –   Sensorineural (e.g., single­sided deafness)


                                                            4
Who is a Candidate?




                      5
Who is a Candidate?




                      6
Who is a Candidate?




                      7
Who is a Candidate?




                      8
Who is a Candidate?




                      9
Who is a Candidate?




                      10
BAHA vs Traditional Bone Conduction Aid

     N = 10
     ●




     Patients between 6 mos and 16 years
     ●




     Initially fit with conventional bone conduction aid
     ●




     Then trial in BAHA softband (Compact or Divino)
     ●




     Then unilateral BAHA implantation
     ●




                   Christensen et al. (2010)



                                                           11
BAHA vs Traditional Bone Conduction Aid

     N = 10
     ●




     Patients between 6 mos and 16 years
     ●




     Initially fit with conventional bone conduction aid
     ●




     Then trial in BAHA softband (Compact or Divino)
     ●




     Then unilateral BAHA implantation
     ●




                   Christensen et al. (2010)



                                                           12
BAHA vs Traditional Bone Conduction Aid




                                          13
BAHA vs Traditional Bone Conduction Aid




                                          14
BAHA vs Traditional AC or BC Aid




  N = 227 (under 16 yrs = 40)
      Questionnaire data
    McDermott et al. (2002)




                                   15
BAHA vs Traditional AC or BC Aid




  N = 227 (under 16 yrs = 40)
      Questionnaire data
    McDermott et al. (2002)




                                   16
BAHA vs Traditional AC or BC Aid




  N = 227 (under 16 yrs = 40)
      Questionnaire data
    McDermott et al. (2002)




                                   17
The BAHA Softband – No Surgery Required




                                          18

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BAHA (1 of 2)

  • 1. Bone-Anchored Hearing Aids in Children Mark Shaver, PhD, CCC­A Wichita State University / Summer 2012 / CSD 862
  • 2. Overview ● Why Bone Conduction? ● What is a Bone­Anchored Hearing Aid? ● Indications ● Bilateral conductive or mixed hearing loss  – cannot wear air conduction aid – surgery unsuccessful/contraindicated ● Unilateral hearing loss – Conductive or mixed – Sensorineural (e.g., single­sided deafness) 2
  • 3. Overview ● Why Bone Conduction? ● What is a Bone­Anchored Hearing Aid? ● Indications ● Bilateral conductive or mixed hearing loss  – cannot wear air conduction aid – surgery unsuccessful/contraindicated ● Unilateral hearing loss – Conductive or mixed – Sensorineural (e.g., single­sided deafness) 3
  • 4. Overview ● Why Bone Conduction? ● What is a Bone­Anchored Hearing Aid? ● Indications ● Bilateral conductive or mixed hearing loss  – cannot wear air conduction aid – surgery unsuccessful/contraindicated ● Unilateral hearing loss – Conductive or mixed – Sensorineural (e.g., single­sided deafness) 4
  • 5. Who is a Candidate? 5
  • 6. Who is a Candidate? 6
  • 7. Who is a Candidate? 7
  • 8. Who is a Candidate? 8
  • 9. Who is a Candidate? 9
  • 10. Who is a Candidate? 10
  • 11. BAHA vs Traditional Bone Conduction Aid N = 10 ● Patients between 6 mos and 16 years ● Initially fit with conventional bone conduction aid ● Then trial in BAHA softband (Compact or Divino) ● Then unilateral BAHA implantation ● Christensen et al. (2010) 11
  • 12. BAHA vs Traditional Bone Conduction Aid N = 10 ● Patients between 6 mos and 16 years ● Initially fit with conventional bone conduction aid ● Then trial in BAHA softband (Compact or Divino) ● Then unilateral BAHA implantation ● Christensen et al. (2010) 12
  • 13. BAHA vs Traditional Bone Conduction Aid 13
  • 14. BAHA vs Traditional Bone Conduction Aid 14
  • 15. BAHA vs Traditional AC or BC Aid N = 227 (under 16 yrs = 40) Questionnaire data McDermott et al. (2002) 15
  • 16. BAHA vs Traditional AC or BC Aid N = 227 (under 16 yrs = 40) Questionnaire data McDermott et al. (2002) 16
  • 17. BAHA vs Traditional AC or BC Aid N = 227 (under 16 yrs = 40) Questionnaire data McDermott et al. (2002) 17
  • 18. The BAHA Softband – No Surgery Required 18