The effect of percutaneous and transcutaneous BAHA on hearing and subjective auditory abilities: A comparative study.

Autor:	Mungan Durankaya S; Department of Audiology, Vocational School of Healthcare, Dokuz Eylül University, Izmir, Türkiye.; Department of Otorhinolaryngology, Audiology, Dokuz Eylül University Hospital, Izmir, Türkiye., Olgun Y; Department of Otorhinolaryngology, School of Medicine, Dokuz Eylül University, Izmir, Türkiye., Kiremitçi I; Department of Otorhinolaryngology, Audiology, Institute of Health Sciences, Dokuz Eylül University, Izmir, Türkiye., Evin Eskicioğlu H; Department of Audiology, Vocational School of Healthcare, Dokuz Eylül University, Izmir, Türkiye.; Department of Otorhinolaryngology, Audiology, Dokuz Eylül University Hospital, Izmir, Türkiye., Güneri EA; Department of Otorhinolaryngology, School of Medicine, Dokuz Eylül University, Izmir, Türkiye., Kirazli G; Department of Audiology, Faculty of Health Sciences, Ege University, Izmir, Türkiye., Gürkan S; Department of Audiology, Vocational School of Healthcare, Dokuz Eylül University, Izmir, Türkiye.; Department of Otorhinolaryngology, Audiology, Dokuz Eylül University Hospital, Izmir, Türkiye., Erdağ TK; Department of Otorhinolaryngology, School of Medicine, Dokuz Eylül University, Izmir, Türkiye., Kirkim G; Department of Audiology, Vocational School of Healthcare, Dokuz Eylül University, Izmir, Türkiye.; Department of Otorhinolaryngology, Audiology, Dokuz Eylül University Hospital, Izmir, Türkiye.
Jazyk:	angličtina
Zdroj:	Medicine [Medicine (Baltimore)] 2024 Sep 20; Vol. 103 (38), pp. e39697.
DOI:	10.1097/MD.0000000000039697
Abstrakt:	Hearing loss significantly affects communication, social interactions, and the overall quality of life. The bone-anchored hearing aid (BAHA) is an implantable system that bypasses the outer and middle ear to directly stimulate the cochlea through bone conduction. This study aimed to compare hearing performance and subjective auditory ability improvements between transcutaneous and percutaneous BAHA devices using audiological assessments and Speech, Spatial and Qualities of Hearing Scale. This cross-sectional prospective study included 29 participants aged 14 to 69 years who had used BAHA for at least 6 months. Both Cochlear Baha System's percutaneous (connect) and transcutaneous (attract) implants were evaluated. Audiological assessments involved pure-tone audiometry, speech recognition threshold, and free-field (FF) audiometry, while subjective auditory ability was measured using the Turkish Speech, Spatial and Qualities of Hearing scale (Tr-SSQ). Significant improvements in FF audiometry averages and speech recognition thresholds were observed with BAHA compared to without BAHA (P < .001). Both implant types provided similar FF averages, speech audiometry results, and Tr-SSQ outcomes, with no significant differences between them. Tr-SSQ scores showed substantial satisfaction, indicating significant improvements in speech perception, spatial perception, and hearing quality with BAHA (P < .001). The findings align with previous research, demonstrating that BAHA is a reliable and effective solution for hearing rehabilitation. The study also emphasized the importance of using both audiological test results and daily hearing function scales to comprehensively evaluate the benefits of hearing rehabilitation in real-world environments. In conclusion, BAHA, regardless of the implant type, can provide predictable and lasting improvements in hearing thresholds and daily hearing abilities, making it a valuable option for patients with conductive hearing loss. Competing Interests: The authors have no funding and conflicts of interest to disclose. (Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.)
Databáze:	MEDLINE
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