Bone-anchored hearing aid: why do some patients refuse it?

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.

authors

Zawawi F,Kabbach G,Lallemand M,Daniel SJ

doi

10.1016/j.ijporl.2013.11.010

subject

Has Abstract

pub_date

2014-02-01 00:00:00

pages

232-4

issue

2

eissn

0165-5876

issn

1872-8464

pii

S0165-5876(13)00591-0

journal_volume

78

pub_type

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