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Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
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Practice guidelines for bone-anchored hearing aids in children.

S Roman1, R Nicollas, J-M Triglia

  • 1Service ORL pédiatrique, CHU de la Timone, université de la Méditerranée, 264, rue St-Pierre, 13385 Marseille cedex 05, France. sroman@ap-hm.fr

European Annals of Otorhinolaryngology, Head and Neck Diseases
|September 30, 2011
PubMed
Summary

Bone-anchored hearing aids (BAHA) are a standard treatment for children with conductive or mixed hearing loss. Successful outcomes are high (96%), with risks decreasing significantly after age 5.

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Area of Science:

  • Otolaryngology
  • Pediatric Audiology
  • Biomedical Engineering

Background:

  • Bone-anchored hearing aids (BAHA) have over 20 years of clinical use in children.
  • They are a standard treatment for conductive or mixed hearing loss.
  • This review synthesizes literature and clinical experience regarding BAHA in pediatric populations.

Purpose of the Study:

  • To review the established use of bone-anchored hearing aids (BAHA) in children.
  • To outline indications, surgical considerations, and outcomes.
  • To discuss BAHA application in unilateral and bilateral hearing loss.

Main Methods:

  • Literature review.
  • Analysis of authors' clinical experience.
  • Evaluation of patient data regarding age, bone thickness, fixture loss, and complications.

Main Results:

  • Key indications include age ≥ 5 years and bone thickness ≥ 3 mm.
  • Fixture loss rates are significantly lower in children ≥ 5 years (8-1%) compared to <5 years (40%).
  • Functional success rate is approximately 96%, with comparable skin complication rates to adults.

Conclusions:

  • BAHA is a safe and effective treatment for pediatric conductive/mixed hearing loss, with improved outcomes in older children.
  • BAHA offers significant quality of life improvements for children, especially with recent technological advancements.
  • Careful patient selection, parental education, and regular follow-up are crucial for minimizing complications and maximizing success.