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The Auditory Ossicles

The Auditory Ossicles

The auditory ossicles of the middle ear transmit sounds from the air as vibrations to the fluid-filled cochlea. The auditory ossicles consist of two malleus (hammer) bones, two incus (anvil) bones, and two stapes (stirrups), one on each side. These bones develop during the fetal stage and are the ones to ossify first. They are fully mature at birth and do not grow afterward.
The aptly named stapes look very much like a stirrup. The three ossicles are unique to mammals, and each plays a role in...

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Sound Source Localization Testing in Single-sided Deafness Following Bone Conduction Intervention

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

Faisal Zawawi¹, Ghassan Kabbach¹, Marie Lallemand¹

¹Department of Otolaryngology - Head and Neck Surgery, McGill University, Montreal, QC, Canada.

International Journal of Pediatric Otorhinolaryngology

|January 1, 2014

Summary

This summary is machine-generated.

Concerns about cosmetic appearance are the primary reason eligible candidates refuse bone-anchored hearing aid (BAHA™) surgery. Patients with congenital anomalies were more likely to accept BAHA™ implants.

Keywords:

BAHA Candidacy Cosmetic Hearing loss

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Area of Science:

Otolaryngology
Audiology
Medical Devices

Background:

Bone-anchored hearing aids (BAHA™) effectively improve hearing in eligible candidates.
Despite proven benefits, a subset of potential BAHA™ recipients decline surgery.
Understanding refusal reasons is crucial for optimizing patient selection and counseling.

Purpose of the Study:

To review institutional experience with BAHA™ implantation.
To identify and analyze the reasons behind surgical refusal among BAHA™ candidates.

Main Methods:

Prospective cohort study of 100 new BAHA™ candidates at a tertiary care center.
Data collected included demographics, hearing status, comorbidities, and audiometric results.
Patient acceptance/refusal and specific reasons for refusal were documented.

Main Results:

68 children and 22 adults were assessed; 10 excluded for incomplete data.
Unilateral conductive hearing loss (40%) and unilateral sensorineural hearing loss (23.3%) were common indications.
Aural atresia (36.6%) was the most frequent clinical finding.
Parental concerns regarding social acceptance and cosmesis were the leading causes of refusal.

Conclusions:

Cosmesis is the primary barrier to BAHA™ surgery acceptance in eligible patients.
Candidates with congenital anomalies demonstrated higher acceptance rates for BAHA™ implants.