Bone Anchored Hearing Aid(BAHA)를 이용한 청각 재활
Hearing Rehabilitation with Bone Anchored Hearing Aid: Experience in 14 Patients
2
조회
0
다운로드
4
인용
0
참고문헌
초록
Background and Objectives Bone anchored hearing aid (BAHA) is an alternative method applicable to patients with chronic draining ear, congenital aural atresia and single sided deafness, who cannot benefit from conventional air conduction hearing aids. The objective of this study was to evaluate the experience of 14 patients who underwent BAHA surgery. Subjects and Method We retrospectively reviewed the medical records of 14 patients who underwent BAHA surgery. Preoperative pure tone air and bone conduction thresholds and air-bone gap, postoperative BAHA-aided thresholds were measured. Hearing improvement as a result of implantation and complications related to implant were evaluated. Results The most common indication for BAHA was congenital aural atresia (8 patients) and the rest consisted of chronic otitis media (3 patients) and unilateral sensorineural hearing loss (3 patients). The average threshold improvement with BAHA was 40 dB and 34 dB in patients with congenital aural atresia and chronic otitis media, respectively. Patients with unilateral hearing loss had a postoperative aided threshold of 25 dB. Complications were limited to the periabutment skin problem in two patients. One patient received revision surgery replacing the diseased skin with split-thickness skin graft from a thigh and the other patient received surgery to remove the abutment and the wound was closed with rotation flap, leaving the fixture underneath the skin. Conclusion BAHA could be one of the safe and reliable treatment options available for auditory rehabilitation. Systematic evaluation for candidate selection might be needed to increase hearing gain and decrease co-morbidity. Korean J Otorhinolaryngol-Head Neck Surg 2010;53:755-60
Abstract
Background and Objectives Bone anchored hearing aid (BAHA) is an alternative method applicable to patients with chronic draining ear, congenital aural atresia and single sided deafness, who cannot benefit from conventional air conduction hearing aids. The objective of this study was to evaluate the experience of 14 patients who underwent BAHA surgery. Subjects and Method We retrospectively reviewed the medical records of 14 patients who underwent BAHA surgery. Preoperative pure tone air and bone conduction thresholds and air-bone gap, postoperative BAHA-aided thresholds were measured. Hearing improvement as a result of implantation and complications related to implant were evaluated. Results The most common indication for BAHA was congenital aural atresia (8 patients) and the rest consisted of chronic otitis media (3 patients) and unilateral sensorineural hearing loss (3 patients). The average threshold improvement with BAHA was 40 dB and 34 dB in patients with congenital aural atresia and chronic otitis media, respectively. Patients with unilateral hearing loss had a postoperative aided threshold of 25 dB. Complications were limited to the periabutment skin problem in two patients. One patient received revision surgery replacing the diseased skin with split-thickness skin graft from a thigh and the other patient received surgery to remove the abutment and the wound was closed with rotation flap, leaving the fixture underneath the skin. Conclusion BAHA could be one of the safe and reliable treatment options available for auditory rehabilitation. Systematic evaluation for candidate selection might be needed to increase hearing gain and decrease co-morbidity. Korean J Otorhinolaryngol-Head Neck Surg 2010;53:755-60
참고문헌 (23)
- Hakansson B, "Ten years of experience with the Swedish Bone Anchored Hearing system", Ann Otol Rhinol Laryngol Suppl, 151, pp.1~16 (1990)
- Badran K, "Suryanarayanan R, Mackinnon N. Patient satisfaction with the bone-anchored hearing aid: a 14-year experience", Otol Neurotol, 27(5), pp.659~666 (2006)
- 이호기, "BAHA(Bone Anchored Hearing Aid) 시술 경험", 대한이비인후과학회지 두경부외과학, 50(4), pp.369~372 (2007), 대한이비인후과학회
- Chang SO, "Bone Anchored Hearing Aid (BAHA)", J Clinical Otolaryngol, 19, pp.3~12 (2008)
- Lustig LR, "Hearing rehabilitation using the BAHA bone-anchored hearing aid: results in 40 patients", Otol Neurotol, 22(3), pp.328~334 (2001)
- De La Cruz A, "Congenital aural atresia surgery: Long-term results", Otolaryngol Head Neck Surg, 129(1), pp.121~127 (2003)
- Granstrom G, "The bone-anchored hearing aid and bone-anchored episthesis for congenital ear malformations", Otolaryngol Head Neck Surg, 109(1), pp.46~53 (1993)
- Snik AF, "Consensus statements on the BAHA system: where do we stand at present?", Ann Otol Rhinol Laryngol Suppl, 195, pp.2~12 (2005)
- Carlsson P, "The bone anchored hearing aid: reference quantities and functional gain", Ear Hear, 18(1), pp.34~41 (1997)
- Saliba I, "BAHA results in children at one year follow-up: a prospective longitudinal study", Int J Pediatr Otorhinolaryngol, 74(9), pp.1058~1062 (2010)
- Niparko JK, "Comparison of the bone anchored hearing aid implantable hearing device with contralateral routing of offside signal amplification in the rehabilitation of unilateral deafness", Otol Neurotol, 24(1), pp.73~78 (2003)
- Wazen JJ, "Successes and complications of the Baha system", Otol Neurotol, 29(8), pp.1115~1119 (2008)
- Baguley DM, "The evidence base for the application of contralateral bone anchored hearing aids in acquired unilateral sensorineural hearing loss in adults", Clin Otolaryngol, 31(1), pp.6~14 (2006)
- Linstrom CJ, "Efficacy of the bone-anchored hearing aid for single-sided deafness", Laryngoscope, 119(4), pp.713~720 (2009)
- Christensen L, "Update on bone-anchored hearing aids in pediatric patients with profound unilateral sensorineural hearing loss", Arch Otolaryngol Head Neck Surg, 136(2), pp.175~177 (2010)
- Wazen JJ, "Localization by unilateral BAHA users", Otolaryngol Head Neck Surg, 132(6), pp.928~932 (2005)
- Reyes RA, "Evaluation of implant losses and skin reactions around extraoral bone-anchored implants: a 0-to 8-year follow-up", Otolaryngol Head Neck Surg, 122(2), pp.272~276 (2000)
- House JW, "Bone-anchored hearing aids: incidence and management of postoperative complications", Otol Neurotol, 28(2), pp.213~217 (2007)
- Proops DW, "The Birmingham bone anchored hearing aid programme: surgical methods and complications", J Laryngol Otol Suppl, 21, pp.7~12 (1996)
- Lloyd S, "Updated surgical experience with bone-anchored hearing aids in children", J Laryngol Otol, 121(9), pp.826~831 (2007)
- MMcDermott AL, "The Birmingham bone anchored hearing aid programme: a 15-yaer experience", Otol Neurotol, 30(2), pp.178~183 (2009)
- Shirazi MA, "Perioperative complications with the bone-anchored hearing aid", Otolaryngol Head Neck Surg, 134(2), pp.236~239 (2006)
- Gillett D, "Bone-anchored hearing aids: results of the first eight years of a programme in a district general hospital, assessed by the Glasgow benefit inventory", J Laryngol Otol, 120(7), pp.537~542 (2006)