The Bone-Anchored Hearing Aid and Bone-Anchored Epithesis for Congenital Ear Malformations

1993 ◽  
Vol 109 (1) ◽  
pp. 46-53 ◽  
Author(s):  
Gösta Granström ◽  
Kerstin Bergström ◽  
Anders Tjellström
Keyword(s):  
Plastic Surgery ◽  
Middle Ear ◽  
Reconstructive Surgery ◽  
Hearing Aid ◽  
Hearing Improvement ◽  
Auricular Reconstruction ◽  
Aural Atresia ◽  
Ear Malformations ◽  
Plastic Reconstructive Surgery ◽  
Bone Anchored Hearing Aid

Surgery for correction of aural atresia was performed on 156 ears in 111 patients. A comparison was made between plastic surgery for auricular reconstruction and the bone-anchored epithesis. Another comparison was performed between hearing Improvement after reconstructive surgery for meatal and middle ear atresia and the bone-anchored hearing aid. It was found that the bone-anchored epithesis is an excellent alternative to plastic reconstructive surgery of the auricle. The bone-anchored hearing aid could be considered as a strong alternative to surgery in patients with meatal and middle ear atresia – especially in patients with advanced malformations. Neither the bone-anchored epithesis nor the bone-anchored hearing aid excludes the patient from reconstructive surgery later in life.

Hearing rehabilitation in congenital aural atresia using the bone-anchored hearing aid: audiological and satisfaction results

2010 ◽  
Vol 130 (12) ◽  
pp. 1343-1351 ◽  
Author(s):  
Carine Fuchsmann ◽  
Stéphane Tringali ◽  
François Disant ◽  
Guillaume Buiret ◽  
Christian Dubreuil ◽  
...  
Keyword(s):  
Hearing Aid ◽  
Hearing Rehabilitation ◽  
Aural Atresia ◽  
Bone Anchored Hearing Aid ◽  
Congenital Aural Atresia

The Bone-Anchored Hearing Aid (BAHA) in Children with Auricular Malformations

1997 ◽  
Vol 76 (4) ◽  
pp. 238-247 ◽  
Author(s):  
Gösta Granström ◽  
Anders Tjellström
Keyword(s):  
Middle Ear ◽  
Hearing Aids ◽  
Hearing Aid ◽  
Adult Population ◽  
Bone Conduction ◽  
Middle Ear Surgery ◽  
Ear Reconstruction ◽  
Skin Reactions ◽  
Bone Anchored Hearing Aid ◽  
Middle Ear Reconstruction

A retrospective study was undertaken to evaluate the outcome of the use of the bone-anchored hearing aid (BAHA) in children. All patients included in the study had bilateral auricular malformations. Previous alternatives had been conventional hearing aids or surgical middle ear reconstruction. Thirty-seven patients under 16 years of age were studied. The most common syndrome in the group was Treacher Collins. Sixteen of the patients had earlier middle ear reconstruction, the results of which did not produce social hearing. Of 40 inserted fixtures to anchor the BAHA, three were lost during the follow-up period because of failed osseointegration. Skin reactions were graded according to a clinical scoring system and were determined to be comparable in number and severity to those of an adult population. All patients in the study considered the BAHA to be superior to earlier bone-conduction devices. It is concluded that the BAHA is an excellent alternative to bone-conduction devices in children with auricular malformations. Middle ear surgery can be postponed until adulthood or abandoned, especially in syndromic patients in whom it is known to be difficult and unpredictable.

scholarly journals Salivary Gland Choristoma of the Middle Ear in a Child: A Case Report

2021 ◽  
pp. 014556132199502
Author(s):  
Jana Jančíková ◽  
Soňa Šikolová ◽  
Josef Machač ◽  
Marta Ježová ◽  
Denisa Pavlovská ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Salivary Gland ◽  
Case Report ◽  
Facial Nerve ◽  
Middle Ear ◽  
Conductive Hearing Loss ◽  
Hearing Aid ◽  
Bone Anchored Hearing Aid ◽  
Conductive Hearing

Salivary gland choristoma is an extremely rare middle ear pathology. We present the case of a 10-year-old girl with unilateral conductive hearing loss. Tympanotomy showed a nonspecific middle ear mass, absence of stapes, anomaly of incus, and displaced facial nerve. It was not possible to remove the mass completely. Histology confirmed salivary gland choristoma. The hearing in this case can be improved with a bone-anchored hearing aid.

Management of repeated trauma to bone-anchored hearing aids in a paediatric patient

2012 ◽  
Vol 127 (2) ◽  
pp. 200-202 ◽  
Author(s):  
E Shamil ◽  
V Topsakal ◽  
W Grolman
Keyword(s):  
Hearing Aids ◽  
Hearing Aid ◽  
Heart Defects ◽  
Neurological Complications ◽  
Management Options ◽  
Ear Malformations ◽  
Bone Anchored Hearing Aid ◽  
Conductive Hearing

AbstractObjective:To outline the management options and neurological complications associated with repeated traumatic falls that cause intrusion of bone-anchored hearing aid abutments.Case report:A three-year-old boy with coloboma, heart defects, atresia of nasal choanae, retarded growth, genital abnormalities, ear defects and deafness was fitted with a bone-anchored hearing aid for severe conductive hearing loss and congenital ear malformations. Six months later, a traumatic fall caused an intrusion injury which rendered the bone-anchored hearing aid abutment unusable. Without removing the original abutment, a second abutment was inserted on the same side to aid his hearing. Two years later, the child fell again and damaged his second bone-anchored hearing aid abutment. Having been offered a surgical option to repair the area, the parents opted to keep the abutments in situ.Conclusion:Direct trauma to the fixture of a bone-anchored hearing aid is a relatively common long-term complication in children which can disrupt osseointegration and disable the implant. For young children who are either prone to falling or have behavioural problems, a bone-anchored hearing aid Softband may be more appropriate to non-invasively aid hearing.

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