title: Subjective benefit after BAHA system application in patients with congenital unilateral conductive hearing impairment.
abstract: OBJECTIVE
  To study whether unilateral Bone-anchored Hearing Aid (BAHA) fitting led to subjective hearing benefit in patients with congenital unilateral conductive hearing impairment.
  
  
  METHODS
  Prospective evaluation on 20 patients.
  
  
  METHODS
  Tertiary referral center.
  
  
  METHODS
  Ten adults and 10 children with congenital unilateral conductive hearing impairment, with a mean air-bone gap of 50 dB, were included.
  
  
  METHODS
  Subjective bilateral hearing benefit after BAHA fitting was measured using 2 disability-specific questionnaires: Chung and Stephens and the Speech, Spatial and Qualities of hearing profile (children's version in the patients aged <18 yr). The Glasgow children's benefit inventory was also used to measure patient's health benefit after BAHA fitting.
  
  
  RESULTS
  Chung and Stephens' questionnaire showed an overall preference for the BAHA in several specific hearing situations. The Glasgow children's benefit inventory demonstrated an overall mean improvement of +34, which was the most prominent in the learning domain. The 10 adults showed an already good score on the Speech, Spatial and Qualities of hearing scale in the unaided situation.
  
  
  CONCLUSIONS
  The BAHA was well accepted by most of the patients with congenital unilateral conductive hearing impairment. A preoperative trial of the BAHA system with the BAHA on a headband is part of the preoperative procedure. In children with unilateral conductive hearing loss, with regard to possible childs' development and communication difficulties, intervention with BAHA can be considered as an option.
authors.affiliation: Department of Otorhinolaryngology, University Medical Centre St Radboud, Nijmegen, The Netherlands. s.kunst@kno.umcn.nl
authors.forename: Sylvia J W
authors.initials: SJ
authors.lastname: Kunst
authors.forename: Myrthe K S
authors.initials: MK
authors.lastname: Hol
authors.forename: Emmanuel A M
authors.initials: EA
authors.lastname: Mylanus
authors.forename: Joop M
authors.initials: JM
authors.lastname: Leijendeckers
authors.forename: Ad F M
authors.initials: AF
authors.lastname: Snik
authors.forename: Cor W R J
authors.initials: CW
authors.lastname: Cremers
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D004185:Disability Evaluation; D006310:Hearing Aids; D006314:Hearing Loss, Conductive / Q000151:congenital / Q000628:therapy*; D046088:Hearing Loss, Unilateral / Q000151:congenital / Q000628:therapy*; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D011446:Prospective Studies; D011795:Surveys and Questionnaires; D016896:Treatment Outcome