Cover

Implantable Bone Conduction Hearing Aids

Editor(s): Kompis M. (Bern) 
Caversaccio M.-D. (Bern) 
Table of Contents
Vol. 71, 2011
Section title: Overview over Different Systems
Kompis M, Caversaccio M-D (eds): Implantable Bone Conduction Hearing Aids. Adv Otorhinolaryngol. Basel, Karger, 2011, vol 71, pp 22–31
(DOI:10.1159/000323577)

An Overview of Different Systems: The Bone-Anchored Hearing Aid

Dun C.A.J. · Faber H.T. · de Wolf M.J.F. · Cremers C.W.R.J. · Hol M.K.S.
Department of Otorhinolaryngology, Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands

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Abstract

In the past 30 years, a large amount of clinical and audiological research on bone conduction hearing devices has been performed. In this review, we give a brief history of the developments in indications, surgical techniques and sound processors with respect to implantable bone conduction devices like the bone-anchored hearing aid or Baha. Starting with the use of Baha in patients with bilateral conductive or mixed hearing loss (HL), the indications for such devices have been extended to patients with unilateral HL, children and moderate mentally retarded patients. Bilateral fitting has been shown to be beneficial in restoring binaural hearing in patients with bilateral acquired or congenital conductive HL. In addition, the surgical techniques used to implant the titanium fixture for Baha application have been modified and further developed to reach two main goals: (a) optimal osseointegration, and (b) preparation of the implant site to minimize the occurrence of soft tissue reactions. Currently, the most used techniques are the pedicled skin flap, dermatome and linear incision techniques. Several generations of the Baha® sound processor have been developed by CochlearTM to provide sufficient amplification in different hearing situations. Improvements in sound quality, aesthetics and handling have been major points of interest. The Baha sound processors most often used today are the Baha® Divino, the Baha® Intenso and the Baha® Cordelle.Recently, the more flexible Baha® BP100 sound processor was launched.



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References

  1. Hakansson B, Tjellström A, Rosenhall U, Carlsson P: The bone-anchored hearing aid. Principal design and a psychoacoustical evaluation. Acta Otolaryngol 1985;100:229-239
  2. Cremers CWRJ, Snik AFM, Beynon AJ: A hearing aid anchored in the cranial bone for amplification of bone conduction. Ned Tijdschr Geneeskd 1991;135:468-471
  3. Tonndorf J: Animal experiments in bone conduction: clinical conclusions. Trans Am Otol Soc 1964;52:22-43
  4. Stenfelt S, Goode RL: Transmission properties of bone conducted sound: measurements in cadaver heads. J Acoust Soc Am 2005;118:2373-2391
  5. Stenfelt S, Goode RL: Bone-conducted sound: physiological and clinical aspects. Otol Neurotol 2005;26:1245-1261
  6. von Békésy G: Current status of theories of hearing. Science 1956;123:779-783
  7. Stenfelt SP, Hakansson BE: A miniaturized artificial mastoid using a skull simulator. Scand Audiol 1998;27:67-76
  8. Mylanus EAM, Snik AFM, Cremers CWRJ: Patients’ opinions of bone-anchored vs conventional hearing aids. Arch Otolaryngol Head Neck Surg 1995;121:421-425
  9. Mylanus EAM, van der Pouw CTM, Snik AFM, Cremers CWRJ: Intraindividual comparison of the bone-anchored hearing aid and air-conduction hearing aids. Arch Otolaryngol Head Neck Surg 1998;124:271-276
  10. Hol MKS, Snik AFM, Mylanus EAM, Cremers CWRJ: Long-term results of bone-anchored hearing aid recipients who had previously used air-conduction hearing aids. Arch Otolaryngol Head Neck Surg 2005;131:321-325
  11. Wazen JJ, Caruso M, Tjellström A: Long-term results with the titanium bone-anchored hearing aid: the U.S. experience. Am J Otol 1998;19:737-741
  12. Arunachalam PS, Kilby D, Meikle D, Davison T, Johnson IJ: Bone-anchored hearing aid quality of life assessed by Glasgow Benefit Inventory. Laryngoscope 2001;111:1260-1263
  13. Cooper HR, Burrell SP, Powell RH, Proops DW, Bickerton JA: The Birmingham bone anchored hearing aid programme: referrals, selection, rehabilitation, philosophy and adult results. J Laryngol Otol 1996;21:(suppl)13-20
  14. Dutt SN, McDermott AL, Burrell SP, Cooper HR, Reid AP, Proops DW: Patient satisfaction with bilateral bone-anchored hearing aids: the Birmingham experience. J Laryngol Otol Suppl 2002;116:37-46
  15. Dutt SN, McDermott AL, Jelbert A, Reid AP, Proops DW: The Glasgow benefit inventory in the evaluation of patient satisfaction with the bone-anchored hearing aid: quality of life issues. J Laryngol Otol Suppl 2002;116:7-14
  16. Hol MKS, Spath MA, Krabbe PFM, vander Pouw CTM, Snik AFM, Cremers CWRJ, Mylanus EAM: The bone-anchored hearing aid: quality-of-life assessment. Arch Otolaryngol Head Neck Surg 2004;130:394-399
  17. Snik AFM, Beynon AJ, Mylanus EAM, van der Pouw CTM, Cremers CWRJ: Binaural application of the bone-anchored hearing aid. Ann Otol Rhinol Laryngol 1998;107:187-193
  18. van der Pouw CTM, Snik AFM, Cremers CWRJ: Audiometric results of bilateral bone-anchored hearing aid application in patients with bilateral congenital aural atresia. Laryngoscope 1998;108:548-553
  19. Bosman AJ, Snik AFM, van der Pouw CTM, Mylanus EAM, Cremers CWRJ: Audiometric evaluation of bilaterally fitted bone-anchored hearing aids. Audiology 2001;40:158-167
  20. Dutt SN, McDermott AL, Burrell SP, Cooper HR, Reid AP, Proops DW: Speech intelligibility with bilateral bone-anchored hearing aids: the Birmingham experience. J Laryngol Otol Suppl 2002;28:47-51
  21. Agterberg MJ, Snik AFM, Hol MKS, van Esch TE, Cremers CWRJ, Van Wanrooij MM, Van Opstal AJ: Improved horizontal directional hearing in bone conduction device users with acquired unilateral conductive hearing loss. J Assoc Res Otolaryngol 2010;Epub ahead of print
  22. Priwin C, Jonsson R, Hultcrantz M, Granström G: BAHA in children and adolescents with unilateral or bilateral conductive hearing loss: a study of outcome. Int J Pediatr Otorhinolaryngol 2007;71:135-145
  23. Snik AFM, Mylanus EAM, Cremers CWRJ: The bone-anchored hearing aid in patients with a unilateral air-bone gap. Otol Neurotol 2002;23:61-66
  24. Hol MKS, Bosman AJ, Snik AFM, Mylanus EAM, Cremers CWRJ: Bone-anchored hearing aid in unilateral inner ear deafness: a study of 20 patients. Audiol Neurootol 2004;9:274-281
  25. 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;24:73-78
  26. Snik AFM, Mylanus EAM, Proops DW, Wolfaardt JF, Hodgetts WE, Somers T, et al: Consensus statements on the BAHA system: where do we stand at present?. Ann Otol Rhinol Laryngol 2005;195:(suppl)2-12
  27. 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;27:809-814
  28. De Wolf MJF, Hol MKS, Huygen PL, Mylanus EAM, Cremers CWRJ: Nijmegen results with application of a bone-anchored hearing aid in children: simplified surgical technique. Ann Otol Rhinol Laryngol 2008;117:805-814
  29. Granström G: Osseointegrated implants in children. Acta Otolaryngol Suppl 2000;543:118-121
  30. Lloyd S, Almeyda J, Sirimanna KS, Albert DM, Bailey CM: Updated surgical experience with bone-anchored hearing aids in children. J Laryngol Otol 2007;121:826-831
  31. Granström G, Bergström K, Odersjo M, Tjellström A: Osseointegrated implants in children: experience from our first 100 patients. Otolaryngol Head Neck Surg 2001;125:85-92
  32. McDermott AL, Williams J, Kuo M, Reid A, Proops D: The Birmingham Pediatric Bone-Anchored Hearing Aid Program: a 15-year experience. Otol Neurotol 2009;30:178-183
  33. Tjellström A, Hakansson B, Granström G: Bone-anchored hearing aids: current status in adults and children. Otolaryngol Clin North Am 2001;34:337-364
  34. Zeitoun H, De R, Thompson SD, Proops DW: Osseointegrated implants in the management of childhood ear abnormalities: with particular emphasis on complications. J Laryngol Otol 2002;116:87-91
  35. Yoshinaga-Itano C: Early intervention after universal neonatal hearing screening: impact on outcomes. Ment Retard Dev Disabil Res Rev 2003;9:252-266
  36. Hol MKS, Cremers CWRJ, Coppens-Schellekens W, Snik AFM: The BAHA Softband. A new treatment for young children with bilateral congenital aural atresia. Int J Pediatr Otorhinolaryngol 2005;69:973-980
  37. Verhagen CV, Hol MKS, Coppens-Schellekens W, Snik AFM, Cremers CWRJ: The Baha Softband. A new treatment for young children with bilateral congenital aural atresia. Int J Pediatr Otorhinolaryngol 2008;72:1455-1459
  38. Lieu JE: Speech-language and educational consequences of unilateral hearing loss in children. Arch Otolaryngol Head Neck Surg 2004;130:524-530
  39. Lieu JE, Tye-Murray N, Karzon RK, Piccirillo JF: Unilateral hearing loss is associated with worse speech-language scores in children. Pediatrics 2010;125:e1348-e1355
  40. Bess FH, Chase PA, Gravel JS: Position statement on amplification for infants and children with hearing loss. (eds) See-wald RC (ed): A Sound Foundation through Early Amplification London, Ontario, Canada, 2010;pp 253-262
  41. Kunst SJW, Hol MKS, Cremers CWRJ, Mylanus EAM: Bone-anchored hearing aid in patients with moderate mental retardation: impact and benefit assessment. Otol Neurotol 2007;28:793-797
  42. McDermott AL, Williams J, Kuo MJ, Reid AP, Proops DW: The role of bone anchored hearing aids in children with Down syndrome. Int J Pediatr Otorhino-laryngol 2008;72:751-757
  43. Kunst SJW, Hol MKS, Snik AFM, Mylanus EAM, Cremers CWRJ: Rehabilitation of patients with conductive hearing loss and moderate mental retardation by means of a bone-anchored hearing aid. Otol Neurotol 2006;27:653-658
  44. Tjellström A: Osseointegrated systems and their application in the head and neck. Adv Otolaryngol Head Neck Surg 1989;3:39-70
  45. Doshi J, McDermott AL, Reid A, Proops D: The 8.5 mm abutment in children: the Birmingham Bone-Anchored Hearing Aid Program experience. Otol Neurotol 2010;31:612-614
  46. Dun CAJ, Hol MKS, Mylanus EAM, Cremers CWRJ: Fitting of an 8.5 mm abutment for bone-anchored hearing aids; indications and post-intervention course, submitted.
  47. Monksfield P, Ho EC, Reid A, Proops D: Experience with the longer (8.5 mm) abutment for Bone-Anchored Hearing Aid. Otol Neurotol 2009;30:274-276
  48. Faber HT, De Wolf MJF, de Rooy JW, Hol MKS, Cremers CWRJ, Mylanus EAM: Bone-anchored hearing aid implant location in relation to skin reactions. Arch Otolaryngol Head Neck Surg 2009;135:742-747
  49. Tjellström A, Granström G: How we do it: frequency of skin necrosis after BAHA surgery. Clin Otolaryngol 2006;31:216-220
  50. Proops DW: The Birmingham bone anchored hearing aid programme: surgical methods and complications. J Laryngol Otol Suppl 1996;21:7-12
  51. Stalfors J, Tjellström A: Skin reactions after BAHA surgery: a comparison between the U-graft technique and the BAHA dermatome. Otol Neurotol 2008;29:1109-1114
  52. van der Pouw CTM, Mylanus EAM, Cremers CWRJ: Percutaneous implants in the temporal bone for securing a bone conductor: surgical methods and results. Ann Otol Rhinol Laryngol 1999;108:532-536
  53. Mylanus EAM, Beynon AJ, Snik AFM, Cremers CWRJ: Percutaneous titanium implantation in the skull for the bone-anchored hearing aid. J Invest Surg 1994;7:327-332
  54. De Wolf MJF, Hol MKS, Huygen PL, Mylanus EAM, Cremers CWRJ: Clinical outcome of the simplified surgical technique for BAHA implantation. Otol Neurotol 2008;29:1100-1108
  55. Cochlear Bone Anchored Solutions AB: Surgery Guide. Gothenburg, Cochlear Bone Anchored Solutions, 2010;
  56. van der Pouw CTM, Carlsson P, Cremers CWRJ, Snik AFM: A new more powerful bone-anchored hearing aid: first results. Scand Audiol 1998;27:179-182
  57. Kompis M, Krebs M, Hausler R: Speech understanding in quiet and in noise with the bone-anchored hearing aids Baha Compact and Baha Divino. Acta Otolaryngol 2007;127:829-835
  58. Bosman AJ, Snik AFM, Mylanus EAM, Cremers CWRJ: Fitting range of the BAHA Intenso. Int J Audiol 2009;48:346-352
  59. Bosman AJM, Snik AFM, Mylanus EAM, Cremers CWRJ: Fitting range of the BAHA Cordelle. Int J Audiol 2006;45:429-437
  60. Verhaegen VJ, Mulder JJ, Mylanus EAM, Cremers CWRJ, Snik AFM: Profound mixed hearing loss: bone-anchored hearing aid system or cochlear implant?. Ann Otol Rhinol Laryngol 2009;118:693-697
  61. Dillon H, Storey L: The National Acoustic Laboratories’ procedure for selecting the saturation sound pressure level of hearing aids: theoretical derivation. Ear Hear 1998;19:255-266
  62. Verhaegen VJ, Mylanus EA, Cremers CW, Snik AF: Audiological application criteria for implantable hearing aid devices: a clinical experience at the Nijmegen ORL clinic. Laryngoscope 2008;118:1645-1649
  63. Flynn MC, Hillbratt M: BC Direct facilitating an individualized and accurate fitting of a Baha sound processor. Gothenburg, Cochlear Bone Anchored Solutions, E81512:2009;
  64. Flynn MC, Sadeghi A, Halvarsson G: Results of the first clinical evaluation of the CochlearTM Baha® BP100. Gothenburg, Cochlear Bone Anchored Solutions, E81511:2009;
  65. Siegert R: Magnetic coupling of partially implantable bone conduction hearing aids without open implants. Laryngorhinootologie 2010;89:346-351


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