Benefit and quality of life after bone-anchored hearing aid fitting in children with unilateral or bilateral hearing impairment
SourceArchives of Otolaryngology--Head & Neck Surgery, 137, 2, (2011), pp. 130-8
Article / Letter to editor
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Archives of Otolaryngology--Head & Neck Surgery
SubjectDCN 1: Perception and Action
OBJECTIVE: To evaluate the benefits of a bone-anchored hearing aid (BAHA) in the daily lives of hearing-impaired children. DESIGN: Retrospective questionnaire study. SETTING: Nijmegen Medical Centre, Nijmegen, the Netherlands. PATIENTS: Thirty-eight BAHA users with a minimum age of 4 years at BAHA fitting and 1 to 4 years of use, divided into groups with bilateral conductive or mixed hearing loss and either normal cognition or mental disability and a group with unilateral conductive hearing loss. MAIN OUTCOME MEASURES: Scores on the Glasgow Children's Benefit Inventory, Abbreviated Profile of Hearing Aid Benefit, and Health Utilities Index Mark 3. RESULTS: The Glasgow Children's Benefit Inventory showed a subjective overall benefit of +32, +16, and +26 in the 3 groups (on a scale of -100 to +100). The Abbreviated Profile of Hearing Aid Benefit also showed an overall mean benefit in the groups. On an individual level, a clinically significant benefit was reported by more children in the group with bilateral hearing loss and normal cognition (7 patients [70%]) than in the unilateral hearing loss group (4 patients [27%]). Overall mean health utility scores and disability index scores on the Health Utility Index Mark 3 were comparable among the 3 groups. CONCLUSION: Overall, BAHA fitting can be considered effective and beneficial in children with bilateral or unilateral hearing loss.
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