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Bone-Anchored Hearing Aid: patient satisfaction with the Cordelle device
Eu Chin Ho1, Peter Monksfield, Elizabeth Egan
1Department of Otolaryngology, University Hospital Birmingham, Birmingham, UK. euchinho@yahoo.co.uk
Objective:
To assess patient satisfaction with the Bone-Anchored Hearing Aid (BAHA) Cordelle device and to identify any user- and device-related issues.
Study Design:
Retrospective, anonymized, cross-sectional postal survey using the Entific Medical Systems questionnaire.
Setting:
Tertiary referral center.
Patients:
Fifty adult patients who had been using the BAHA Cordelle for more than 6 months.
Intervention:
Hearing rehabilitation using BAHA Cordelle.
Main Outcome Measures:
Patients' satisfaction with the BAHA Cordelle in a variety of real-life hearing scenarios, their actual use of the device, and other issues with the device.
Results:
Response rate was 66%. Responders were happy with their Cordelle in quiet situations and 1-to-1 conversations but less so in noisy or in group situations.However, approximately 80% of Cordelle users will use their device everyday for more than 8 h/d, and the overall satisfaction level is high. Compared with ear-level BAHA patients, Cordelle users are older and have mixed hearing loss with poorer sensorineural reserve, making hearing rehabilitation more challenging.
Conclusion:
The findings of this study support the use of the BAHA Cordelle as a viable, safe, low-morbidity hearing rehabilitation option in patients with mixed hearing loss with poor sensorineural reserve. Patients should be counseled appropriately to help manage their expectations.
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