title: Three-year experience with the Sophono in children with congenital conductive unilateral hearing loss: tolerability, audiometry, and sound localization compared to a bone-anchored hearing aid.
abstract: Bone conduction devices (BCDs) are advocated as an amplification option for patients with congenital conductive unilateral hearing loss (UHL), while other treatment options could also be considered. The current study compared a transcutaneous BCD (Sophono) with a percutaneous BCD (bone-anchored hearing aid, BAHA) in 12 children with congenital conductive UHL. Tolerability, audiometry, and sound localization abilities with both types of BCD were studied retrospectively. The mean follow-up was 3.6 years for the Sophono users (n = 6) and 4.7 years for the BAHA users (n = 6). In each group, two patients had stopped using their BCD. Tolerability was favorable for the Sophono. Aided thresholds with the Sophono were unsatisfactory, as they did not reach under a mean pure tone average of 30 dB HL. Sound localization generally improved with both the Sophono and the BAHA, although localization abilities did not reach the level of normal hearing children. These findings, together with previously reported outcomes, are important to take into account when counseling patients and their caretakers. The selection of a suitable amplification option should always be made deliberately and on individual basis for each patient in this diverse group of children with congenital conductive UHL.
authors.affiliation: Department of Otorhinolaryngology, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, P.O. Box 9101, 6500 HB, Nijmegen, Netherlands. rik.nelissen@radboudumc.nl.
authors.forename: Rik C
authors.initials: RC
authors.lastname: Nelissen
authors.affiliation: Department of Otorhinolaryngology, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, P.O. Box 9101, 6500 HB, Nijmegen, Netherlands.|Department of Biophysics, Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, Netherlands.
authors.forename: Martijn J H
authors.initials: MJ
authors.lastname: Agterberg
authors.affiliation: Department of Otorhinolaryngology, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, P.O. Box 9101, 6500 HB, Nijmegen, Netherlands.
authors.forename: Myrthe K S
authors.initials: MK
authors.lastname: Hol
authors.affiliation: Department of Otorhinolaryngology, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, P.O. Box 9101, 6500 HB, Nijmegen, Netherlands.|Department of Biophysics, Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, Netherlands.
authors.forename: Ad F M
authors.initials: AF
authors.lastname: Snik
mesh_terms: D000293:Adolescent; D001299:Audiometry; D001844:Bone Conduction; D002648:Child; D002675:Child, Preschool; D005260:Female; D006310:Hearing Aids; D006314:Hearing Loss, Conductive / Q000151:congenital / Q000628:therapy*; D046088:Hearing Loss, Unilateral / Q000151:congenital / Q000628:therapy*; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D013017:Sound Localization / Q000502:physiology*; D016896:Treatment Outcome
keywords: Aural atresia; BAHA; Bone-anchored hearing implant; Hearing loss; Percutaneous implant; Transcutaneous implant