Hostname: page-component-cd9895bd7-hc48f Total loading time: 0 Render date: 2024-12-21T14:53:50.264Z Has data issue: false hasContentIssue false

The Birmingham bone anchored hearing aid programme: surgical methods and complications

Published online by Cambridge University Press:  29 June 2007

David W. Proops
Affiliation:
Queen Elizabeth Hospital, University Hospital Birmingham NHS Trust, Birmingham, U.K.

Abstract

Since 1988, 309 patients have been referred to the Birmingham bone anchored hearing aid programme for assessment. One hundred and eighty-eight have been fitted with bone anchored hearing aids (BAHA). Of these 169 have been fitted with a BAHA alone and 20 with a BAHA and auricular prosthesis(es).

Only four (2.1 per cent) are not wearing their BAHAs. Three cases because the hearing had continued to deteriorate and in one case because of repeated failure to integrate. Nineteen patients (10.1 per cent) have lost fixtures but all but one of these have been successfully reimplanted. Of these 19 patients 10 (52.6 per cent) were syndromal and 10 (52.6 per cent) were under 16 years of age.

A surgical method has been evolved both to cope with predictable failure of integration and soft tissue control.

Type
Research Article
Copyright
Copyright © JLO (1984) Limited 1996

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Burrell, S. P., Cooper, H. R., Proops, D. W. (1996) The bone anchored hearing aid: A third option for otosclerosis. Journal of Laryngology and Otology 110 (Suppl 21): 3136.CrossRefGoogle Scholar
Browning, G. G. (1990) Bone conduction implants. Laryngoscope 100: 108109.CrossRefGoogle ScholarPubMed
Cooper, H. R., Burrell, S. P., Powell, R. H., Proops, D. W., Bickerton, J. A. (1996). The Birmingham bone anchored hearing aid programme: referrals, selection, rehabilitations and adult results. Journal of Laryngology and Otology 110 (Suppl 21): 1320CrossRefGoogle Scholar
Cremers, C. W. R. J., Snik, A. F. M., Beynon, A. J. (1992) Hearing with the bone anchored hearing aid (BAHA HC200) compared to a conventional bone conduction hearing aid. Clinical Otolaryngology 17: 275279.CrossRefGoogle Scholar
Hartland, S. H., Proops, D. W. (1996) Bone anchored hearing aid wearers with significant sensorineural hearing loss (borderline candidates): The Birmingham experience. Journal of Laryngology and Otology 110 (Suppl 21): 4146.CrossRefGoogle Scholar
Holgers, K. M., Tjëllström, A., Bjursten, L. M., Erlandsson, B. E. (1988) Soft tissue reaction around percutaneous implants: A clinical study of soft tissue conditions around skin penetrating titanium implants for bone anchored hearing aids. American Journal of Otology 9: 5659.Google ScholarPubMed
Macnamara, M., Phillips, D., Proops, D. W. (1996) The use of bone anchored hearing aids in chronic suppurative otitis media. Journal of Laryngology and Otology 110 (Suppl 21): 3739.CrossRefGoogle Scholar
Mylanus, E. A. M. (1994) The bone anchored hearing aid: Clinical and audiological aspects. (Thesis) Proesfchrifa, Nijmegen – Netherlands 1994.Google Scholar
Mylanus, E. A. M., Cremers, C. W. R. J., Snik, A. F. M., Van den Berge, N. W. (1994) Clinical results of percutaneous implants in the temporal bone. Archives of Otolaryngology – Head and Neck Surgery 120: 8185.CrossRefGoogle ScholarPubMed
Mylanus, E. A. M., Cremers, C. W. R. J. (1994) A one stage procedure for placement of percutaneous implants for the bone anchored hearing aid. Journal of Laryngology and Otology 108: 10201033.CrossRefGoogle ScholarPubMed
Powell, R. J. H., Burrell, S. P., Proops, D. W. (1996) The Birmingham bone anchored hearing aid programme: paediatric experience and results. Journal and Laryngology and Otology 110 (Suppl 21): 2129.CrossRefGoogle Scholar
Proops, D. W. (1992) The child with the congenital ear: Manage the parents then manage the child. Proceedings of Symposium on Congenital External and Middle Ear malformations. (Ars, B., ed.), Brussels, Kugler Publications, Amsterdam, pp 2731.Google Scholar
Proops, D. W., Wake, M. J. C. (1993) A single stage technique for the BAHA. Book of abstracts, 3rd International Winter Seminar on Implants in Craniofacial Rehabilitation and Audiology - Selva, Val Gardena 45.Google Scholar
Tjëllström, A. (1989) Osseointegrated systems and their applications in the head and neck. Advances in Otolaryngology, Head and Neck Surgery 3: 3970.Google Scholar
Tjëllström, A., Ganstrom, G. (1993) The one stage procedure for implant in the ma⋅toid. Book of abstracts. 3rd International Winter Seminar on Implants in Craniofacial Rehabilitation and Audiology. Selva - Val Gardena 45.Google Scholar
Tjëlström, A., Ganstrom, G. (1994) Long-term follow-up with the bone anchored hearing aid: A review of the first 100 patients between 1977 and 1985. Ear, Nose and Throat Journal 73: 112114.CrossRefGoogle Scholar
Tjëllström, A., Hakannson, B., Ludstrom, J. (1980) Analysis of the mechanical impedance of bone anchored hearing aids. Acta Otolarynologica 89: 8592.CrossRefGoogle ScholarPubMed
Tondorf, J. (1966) Bone conduction studies in experimental animals. Acta Otolaryngologica (Suppl 213): 79.Google Scholar