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Emmanuel A. M. Mylanus, MD, PhD; Ad F. M. Snik, PhD; Cor W. R. J. Cremers, MD, PhD

Arch Otolaryngol Head Neck Surg. 1995;121(4):421-425.

Abstract
Objective
To evaluate patients' opinions of the bone-anchored hearing aid (BAHA) compared with a conventional hearing aid.

Design
Prospective study with two questionnaires. Questionnaire A consisted of questions that compared patients' previous hearing aid with the BAHA. Questionnaire B consisted of questions about the patients' experiences with the hearing aids.

Patients
Sixty-five consecutive patients who had used conventional hearing aids.

Setting
Tertiary referral center.

Intervention
A percutaneous titanium implant in the temporal bone for the BAHA.

Main Outcome Measure
Qualitative descriptive results of questionnaire A and difference scores from questionnaire B comparing conventional hearing aids and the BAHA.

Results
Patients favored the BAHA to the conventional bone-conduction hearing aid. Patients with BAHA reported a significant improvement in speech recognition in quiet and in noise, in sound quality, and in comfort (P<.01). The results with the BAHA compared with the air-conduction hearing aid were ambiguous for speech recognition, but all the patients reported a decrease in ear infections.

Conclusion
The BAHA is a good alternative for the conventional bone-conduction hearing aid if a patient can no longer use an air-conduction hearing aid.

(Arch Otolaryngol Head Neck Surg. 1995;121:421-425)

Author Affiliations
From the Department of Otorhinolaryngology, University Hospital Nijmegen (the Netherlands).

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