The BAHA Softband: A new treatment for young children with bilateral congenital aural atresia

Myrthe K S Hol; Cor W R J Cremers; Wilma Coppens-Schellekens; Ad F M Snik

doi:10.1016/j.ijporl.2005.02.010

The BAHA Softband: A new treatment for young children with bilateral congenital aural atresia

Myrthe K S Hol^*
, Cor W R J Cremers
, Wilma Coppens-Schellekens
, Ad F M Snik

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

69 Citations (Scopus)

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Abstract

OBJECTIVE: To evaluate the validity of a bone-anchored hearing aid (BAHA) Softband (fitted unilaterally and bilaterally) in young children with bilateral congenital aural atresia.

SUBJECTS: Two children with severe bilateral congenital conductive hearing loss, who had been fitted with a transcutaneous BAHA Softband at the age of 3 and 28 months, respectively. The latter child had been fitted with a conventional bone-conduction hearing aid at the age of 3 months; at 28 months, this child had received the BAHA Softband and after 5 months of unilateral application, the BAHA Softband was fitted bilaterally. Follow-up in the two children was 31 and 17 months, respectively.

METHODS: Using the artificial mastoid, gain and maximum output were studied in this new transcutaneous application of the BAHA, with the BAHA Classic and the BAHA Compact as sound processor. Results were compared to those obtained with a conventional bone-conduction device (Oticon E 300 P). Aided thresholds and sound lateralization scores were assessed with double visual reinforcement audiometry (VRA). To test the validity of the BAHA Softband, the speech and language development of the children was assessed by means of age-appropriate tests (the preverbal Symbolic play test and the Dutch non-speech test for receptive and expressive language and the Dutch version of the Reynell language test).

RESULTS: The electro-acoustic measurements showed minor differences in gain between the three devices. At a reduced volume setting, the mean input level at which the output levelled off was largely comparable between the BAHA Classic and the conventional device, but somewhat poorer with the BAHA Compact. Both children showed speech and language development that was in accordance with their cognitive development.

CONCLUSIONS: The BAHA Softband was a valid intervention in children with congenital bilateral aural atresia who were too young for percutaneous BAHA application.

Original language	English
Pages (from-to)	973-980
Number of pages	8
Journal	International Journal of Pediatric Otorhinolaryngology
Volume	69
Issue number	7
DOIs	https://doi.org/10.1016/j.ijporl.2005.02.010
Publication status	Published - Jul-2005
Externally published	Yes

Keywords

Bone Conduction
Ear Canal/abnormalities
Equipment Design
Follow-Up Studies
Hearing Aids
Hearing Loss, Bilateral/congenital
Hearing Loss, Conductive/congenital
Humans
Infant
Language Development
Reproducibility of Results

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10.1016/j.ijporl.2005.02.010

The BAHA SoftbandFinal publisher's version, 170 KBLicence: Taverne

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@article{43a13811bda9481d91c44111f057d534,

title = "The BAHA Softband: A new treatment for young children with bilateral congenital aural atresia",

abstract = "OBJECTIVE: To evaluate the validity of a bone-anchored hearing aid (BAHA) Softband (fitted unilaterally and bilaterally) in young children with bilateral congenital aural atresia.SUBJECTS: Two children with severe bilateral congenital conductive hearing loss, who had been fitted with a transcutaneous BAHA Softband at the age of 3 and 28 months, respectively. The latter child had been fitted with a conventional bone-conduction hearing aid at the age of 3 months; at 28 months, this child had received the BAHA Softband and after 5 months of unilateral application, the BAHA Softband was fitted bilaterally. Follow-up in the two children was 31 and 17 months, respectively.METHODS: Using the artificial mastoid, gain and maximum output were studied in this new transcutaneous application of the BAHA, with the BAHA Classic and the BAHA Compact as sound processor. Results were compared to those obtained with a conventional bone-conduction device (Oticon E 300 P). Aided thresholds and sound lateralization scores were assessed with double visual reinforcement audiometry (VRA). To test the validity of the BAHA Softband, the speech and language development of the children was assessed by means of age-appropriate tests (the preverbal Symbolic play test and the Dutch non-speech test for receptive and expressive language and the Dutch version of the Reynell language test).RESULTS: The electro-acoustic measurements showed minor differences in gain between the three devices. At a reduced volume setting, the mean input level at which the output levelled off was largely comparable between the BAHA Classic and the conventional device, but somewhat poorer with the BAHA Compact. Both children showed speech and language development that was in accordance with their cognitive development.CONCLUSIONS: The BAHA Softband was a valid intervention in children with congenital bilateral aural atresia who were too young for percutaneous BAHA application.",

keywords = "Bone Conduction, Ear Canal/abnormalities, Equipment Design, Follow-Up Studies, Hearing Aids, Hearing Loss, Bilateral/congenital, Hearing Loss, Conductive/congenital, Humans, Infant, Language Development, Reproducibility of Results",

author = "Hol, \{Myrthe K S\} and Cremers, \{Cor W R J\} and Wilma Coppens-Schellekens and Snik, \{Ad F M\}",

year = "2005",

month = jul,

doi = "10.1016/j.ijporl.2005.02.010",

language = "English",

volume = "69",

pages = "973--980",

journal = "International Journal of Pediatric Otorhinolaryngology",

issn = "0165-5876",

publisher = "ELSEVIER IRELAND LTD",

number = "7",

}

TY - JOUR

T1 - The BAHA Softband

T2 - A new treatment for young children with bilateral congenital aural atresia

AU - Hol, Myrthe K S

AU - Cremers, Cor W R J

AU - Coppens-Schellekens, Wilma

AU - Snik, Ad F M

PY - 2005/7

Y1 - 2005/7

N2 - OBJECTIVE: To evaluate the validity of a bone-anchored hearing aid (BAHA) Softband (fitted unilaterally and bilaterally) in young children with bilateral congenital aural atresia.SUBJECTS: Two children with severe bilateral congenital conductive hearing loss, who had been fitted with a transcutaneous BAHA Softband at the age of 3 and 28 months, respectively. The latter child had been fitted with a conventional bone-conduction hearing aid at the age of 3 months; at 28 months, this child had received the BAHA Softband and after 5 months of unilateral application, the BAHA Softband was fitted bilaterally. Follow-up in the two children was 31 and 17 months, respectively.METHODS: Using the artificial mastoid, gain and maximum output were studied in this new transcutaneous application of the BAHA, with the BAHA Classic and the BAHA Compact as sound processor. Results were compared to those obtained with a conventional bone-conduction device (Oticon E 300 P). Aided thresholds and sound lateralization scores were assessed with double visual reinforcement audiometry (VRA). To test the validity of the BAHA Softband, the speech and language development of the children was assessed by means of age-appropriate tests (the preverbal Symbolic play test and the Dutch non-speech test for receptive and expressive language and the Dutch version of the Reynell language test).RESULTS: The electro-acoustic measurements showed minor differences in gain between the three devices. At a reduced volume setting, the mean input level at which the output levelled off was largely comparable between the BAHA Classic and the conventional device, but somewhat poorer with the BAHA Compact. Both children showed speech and language development that was in accordance with their cognitive development.CONCLUSIONS: The BAHA Softband was a valid intervention in children with congenital bilateral aural atresia who were too young for percutaneous BAHA application.

AB - OBJECTIVE: To evaluate the validity of a bone-anchored hearing aid (BAHA) Softband (fitted unilaterally and bilaterally) in young children with bilateral congenital aural atresia.SUBJECTS: Two children with severe bilateral congenital conductive hearing loss, who had been fitted with a transcutaneous BAHA Softband at the age of 3 and 28 months, respectively. The latter child had been fitted with a conventional bone-conduction hearing aid at the age of 3 months; at 28 months, this child had received the BAHA Softband and after 5 months of unilateral application, the BAHA Softband was fitted bilaterally. Follow-up in the two children was 31 and 17 months, respectively.METHODS: Using the artificial mastoid, gain and maximum output were studied in this new transcutaneous application of the BAHA, with the BAHA Classic and the BAHA Compact as sound processor. Results were compared to those obtained with a conventional bone-conduction device (Oticon E 300 P). Aided thresholds and sound lateralization scores were assessed with double visual reinforcement audiometry (VRA). To test the validity of the BAHA Softband, the speech and language development of the children was assessed by means of age-appropriate tests (the preverbal Symbolic play test and the Dutch non-speech test for receptive and expressive language and the Dutch version of the Reynell language test).RESULTS: The electro-acoustic measurements showed minor differences in gain between the three devices. At a reduced volume setting, the mean input level at which the output levelled off was largely comparable between the BAHA Classic and the conventional device, but somewhat poorer with the BAHA Compact. Both children showed speech and language development that was in accordance with their cognitive development.CONCLUSIONS: The BAHA Softband was a valid intervention in children with congenital bilateral aural atresia who were too young for percutaneous BAHA application.

KW - Bone Conduction

KW - Ear Canal/abnormalities

KW - Equipment Design

KW - Follow-Up Studies

KW - Hearing Aids

KW - Hearing Loss, Bilateral/congenital

KW - Hearing Loss, Conductive/congenital

KW - Humans

KW - Infant

KW - Language Development

KW - Reproducibility of Results

U2 - 10.1016/j.ijporl.2005.02.010

DO - 10.1016/j.ijporl.2005.02.010

M3 - Article

C2 - 15911017

SN - 0165-5876

VL - 69

SP - 973

EP - 980

JO - International Journal of Pediatric Otorhinolaryngology

JF - International Journal of Pediatric Otorhinolaryngology

IS - 7

ER -

The BAHA Softband: A new treatment for young children with bilateral congenital aural atresia

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