title: [Comparison of audiological performance bewteen bone-anchored and conventional hearing aids].
abstract: The bone-anchored hearing aid (BAHA) is an implantable bone-conduction device that vibrates the skull directly via a surgically implanted titanium screw behind the ear. The BAHA has advantages for patients with aural atresia or chronic ear drainage, who cannot wear air-conduction hearing aids. We compared the function of BAHA to conventional bone and air-conduction hearing aids based on functional gain and speech discrimination tests in quiet and noisy environments in 2 patients with chronic ear problems. All expressed a clear preference for the BAHA over conventional bone-conduction hearing aids. The BAHA and air-conduction hearing aid provided similar audiological performance when the functional gain of each hearing aid coincided. As the air-bone gap widens, however, audiological performance with the BAHA showed an evident preference, indicating that the width of the air-bone gap is of some help in BAHA preference compared to air-conduction hearing aids.
authors.affiliation: Department of Otolaryngology, Hamamatsu University School of Medicine, Hamamatsu.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Iwasaki
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Hashimoto
authors.forename: Mituyoshi
authors.initials: M
authors.lastname: Nagura
authors.forename: Satoru
authors.initials: S
authors.lastname: Takebayashi
authors.forename: Kunihiro
authors.initials: K
authors.lastname: Mizuta
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Mineta
mesh_terms: D000368:Aged; D001299:Audiometry; D001307:Auditory Perception; D001309:Auditory Threshold / Q000502:physiology*; D001844:Bone Conduction / Q000502:physiology*; D006310:Hearing Aids / Q000592:standards*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019919:Prosthesis Implantation; D013063:Speech Discrimination Tests