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Transcutaneous Bone-anchored Hearing Aids Versus Percutaneous Ones: Multicenter Comparative Clinical Study
Mete Iseri1, Kadir Serkan Orhan, Ulku Tuncer
1*Department of Otorhinolaryngology, Kocaeli University Faculty of Medicine, Kocaeli; †Department of Otorhinolaryngology, Istanbul University Faculty of Medicine, Istanbul; and ‡Department of Otorhinolaryngology, Cukurova University Faculty of Medicine, Adana, Turkey.
Bone-anchored hearing aid surgery comparing percutaneous Dermalock and transcutaneous Attract systems showed both are effective. The percutaneous bone-conduction group demonstrated superior audiological outcomes.
Area of Science:
- Otolaryngology
- Audiology
- Biomedical Engineering
Background:
- Bone-anchored hearing aids (BAHA) offer solutions for conductive hearing loss when conventional aids fail.
- Two common BAHA systems are the percutaneous Dermalock and the transcutaneous Attract.
Purpose of the Study:
- To compare audiological outcomes and patient satisfaction between BAHA Dermalock and BAHA Attract systems.
- To evaluate surgical complications and postoperative follow-up for both BAHA systems.
Main Methods:
- A multicenter, retrospective clinical study analyzed patients who underwent BAHA Dermalock or BAHA Attract surgery.
- Evaluated hearing results (speech and bone conduction thresholds) and patient satisfaction (Glasgow Benefit Inventory).
Main Results:
- Both systems yielded minor complications like skin irritation.
- Audiological benefits were observed in both groups.
- The percutaneous Dermalock group showed better audiological results compared to the transcutaneous Attract group.
Conclusions:
- Both percutaneous and transcutaneous BAHA techniques effectively rehabilitate conductive hearing loss.
- Each system presents distinct advantages and limitations from audiological and surgical viewpoints.
