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Bone-anchored hearing aids in conductive and mixed hearing losses: why do patients reject them?

Siau, Richard T K and Dhillon, Baljeet and Siau, Derrick and Green, Kevin M J (2016) Bone-anchored hearing aids in conductive and mixed hearing losses: why do patients reject them? European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 273 (10). pp. 3117-22. ISSN 1434-4726.

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Official URL: http://link.springer.com/journal/405/273/10/page/2

Abstract

This study aimed to report the bone-anchored hearing aid uptake rate and the reasons for their rejection by patients with conductive and mixed hearing losses. A retrospective review was performed of 113 consecutive patients with unilateral or bilateral conductive or mixed hearing loss referred to the Greater Manchester bone-anchored hearing aid (BAHA) programme between September 2008 and August 2011. 98 (86.7 %) patients were deemed audiologically suitable for BAHA implantation. Of these, 38 (38.8 %) had BAHA implanted; 60 (61.2 %) patients declined. Of those who declined, 27 (45 %) cited anxiety over surgery, 18 (30 %) cited cosmetic reasons, 16 (26.7 %) perceived limited benefit from the device and six (10 %) preferred conventional hearing aids. Our study highlights a 38.8 % BAHA uptake rate in audiologically suitable patients. The main reasons cited for rejection of BAHA were anxiety over surgery and cosmetic concerns. It is important that clinicians address these early during consultation with prospective BAHA recipients and avoid rushing to implant these patients with a bone-anchored hearing aid.

Item Type: Article
Subjects: WV Otorhinolaryngology. ENT medicine
Divisions: Planned IP Care > General Surgery
Related URLs:
Depositing User: Mrs Yolande Brookes
Date Deposited: 11 Jan 2017 12:18
Last Modified: 11 Jan 2017 13:33
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/1091

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