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

作者：Zawawi Faisal; Kabbach Ghassan; Lallemand Marie; Daniel Sam J^*

来源：International Journal of Pediatric Otorhinolaryngology, 2014, 78(2): 232-234.

DOI：10.1016/j.ijporl.2013.11.010

• BAHA
• Hearing loss
• Candidacy
• Cosmetic

Objective: Bone-anchored hearing aid (BAHA (TM)) is a proven tool to improve hearing. Nevertheless, there are patients who are candidates for BAHA (TM) implants that end up refusing the surgery. The objective of this study is to review our BAHA (TM) experience with particular emphasis on reasons behind the refusal of some candidates.
Methods: A prospective cohort of 100 consecutive new candidates referred to The BAHA (TM) program in a tertiary health care center. Candidates' demographics, hearing status, Co-morbidities and audiometeric tests were all recorded. Patients' acceptance or refusal was noted alongside the reasons to refuse BAHA (TM).
Results: 100 new candidates were seen for BAHA (TM) assessment, 10 patients were excluded due to incomplete data. There were 68 children and 22 adults. Unilateral Conductive Hearing Loss was the most common reason for consultation (40%), followed by unilateral SNHL (23.3%). Aural Atresia was the commonest clinical finding (36.6%). The commonest reason for refusal was social acceptance by the parents due to concern with cosmesis.
Conclusion: The main reason of BAHA (TM) surgery refusal, in otherwise eligible candidates, is related to cosmesis. Patients with congenital anomalies were the most likely candidates to accept BAHA (TM) implants.

• 出版日期2014-2
• 单位McGill