UK and Ireland experience of bone anchored hearing aids (BAHA®) in individuals with Down syndrome

Sheehan, PZ; Hans, Paul

doi:10.1016/j.ijporl.2005.10.008

Cited by 48 publications

(38 citation statements)

References 11 publications

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“…It was approved by the United States Food and Drug Administration for adults in 1996 and, 3 years later, for children aged 5 years and over. In the past decade, indications for implanting the Baha system have been extended to other categories of patients, such as those with unilateral sensorineural hearing loss in order to eliminate head shadow eVect, and patients with mild or moderate mental retardation and bilateral conductive hearing impairment [12][13][14]. Other authors [15][16][17] proposed bilateral Baha implantation to obtain diotic summation of loudness and improve its spatial discrimination capacity.…”

Section: Discussionmentioning

confidence: 99%

Results and complications of the Baha system (bone-anchored hearing aid)

Ricci

Volpe

Faralli

et al. 2010

Eur Arch Otorhinolaryngol

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The aim of this work is to reexamine our experience with the treatment of conductive and mixed hearing loss using the Baha system. The system was implanted in 47 patients (16 adults and 31 children under the age of 14), bilaterally in two cases. The causes of hypoacusis were bilateral congenital aural atresia (31 patients), bilateral chronic otitis media or outcomes of middle-ear surgery (Gillett et al. in J laryngol Otol 120:537-542, 2006), and otosclerosis (Pazzaglia et al. in Acta Orthop Scand 54:574-579, 1983). The following parameters were assessed: mean preoperative air- and bone-conduction thresholds for the frequencies of 500, 1,000, 2,000 and 4,000 Hz; mean postoperative threshold with the Baha; hearing improvement calculated by subtracting the postoperative threshold with the Baha from the preoperative threshold for air conduction in the better ear; speech audiometry test; improvement in the quality of life, calculated using the Glasgow Benefit Inventory for the adult patients and the Glasgow Children's Benefit Inventory for paediatric patients; frequency and type of surgical complications. Follow-up ranged from 6 to 38 months. The audiological results were satisfactory, with air-bone gap closure in 85.1% of cases. In terms of quality of life, assessment using the Glasgow Benefit Inventory showed a clear-cut improvement in health for all the 45 patients that answered to the questionnaires in our study. Out of the 49 operations that were performed, complications were reported in 3 cases (6.1%): 2 cases of skin regrowth around the titanium screw and one in which the abutment was not osseointegrated. The data from this study show that the Baha system offers a high percentage of success, which can significantly improve the patient's quality of life, and a low rate of complications.

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Section: Discussionmentioning

confidence: 99%

Results and complications of the Baha system (bone-anchored hearing aid)

Ricci

Volpe

Faralli

et al. 2010

Eur Arch Otorhinolaryngol

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“…The conventional treatment with ventilation tubes (VT) is complicated by small narrow ear canals [2].…”

Section: Discussionmentioning

confidence: 99%

“…The use of conventional hearing aids is complicated by the fact many of these children have learning difficulties and will not co-operate with a device they can feel in their ear, and these conventional aids can aggravate existing otitis externa and/or otitis media. A recent paper by Sheehan et al discusses the problems with hearing loss in Down syndrome [2].…”

Section: Discussionmentioning

confidence: 99%

“…Sheehan et al reported the UK and Ireland experience of children with Down syndrome with Baha 1 [2]. They reported 43 cases in all, 24 of which were children.…”

Section: Discussionmentioning

confidence: 99%

“…The rate varies according to contraception and termination attitudes in different communities and countries [1]. It is currently estimated that there are 2 million people with Down syndrome worldwide and 50,000 of them are in the United Kingdom (UK) [2].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The role of bone anchored hearing aids in children with Down syndrome

McDermott

Williams

Kuo

et al. 2008

International Journal of Pediatric Otorhinolaryngology

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Co‐occurring medical conditions in adults with Down syndrome: A systematic review toward the development of health care guidelines

Capone

Chicoine

Bulova

et al. 2017

American J of Med Genetics Pt A

137

136

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Adults with Down syndrome (DS) represent a unique population who are in need of clinical guidelines to address their medical care. The United States Preventive Service Task Force (USPSTF) has developed criteria for prioritizing conditions of public health importance with the potential for providing screening recommendations to improve clinical care. The quality of existing evidence needed to inform clinical guidelines has not been previously reviewed. Using the National Library of Medicine (NLM) database PubMed, we first identified 18 peer reviewed articles that addressed co-occurring medical conditions in adults with DS. Those conditions discussed in over half of the articles were prioritized for further review. Second, we performed detailed literature searches on these specific conditions. To inform the search strategy and review process a series of key questions were formulated a priori. The quality of available evidence was then graded and knowledge gaps were identified. The number of participating adults and the design of clinical studies varied by condition and were often inadequate for answering all of our key questions. We provide data on thyroid disease, cervical spine disease, hearing impairment, overweight-obesity, sleep apnea, congenital heart disease, and osteopenia-osteoporosis. Minimal evidence demonstrates massive gaps in our clinical knowledge that compromises clinical decision-making and management of these medically complex individuals. The development of evidence-based clinical guidance will require an expanded clinical knowledge-base in order to move forward.

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UK and Ireland experience of bone anchored hearing aids (BAHA®) in individuals with Down syndrome

Cited by 48 publications

References 11 publications

Results and complications of the Baha system (bone-anchored hearing aid)

Results and complications of the Baha system (bone-anchored hearing aid)

The role of bone anchored hearing aids in children with Down syndrome

Co‐occurring medical conditions in adults with Down syndrome: A systematic review toward the development of health care guidelines

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