plastic Surgery
Stephan Strobel, Lewis Spitz, Stephen D. Marks in Great Ormond Street Handbook of Paediatrics, 2019
Treatment is within a multi-disciplinary team, involving audiological physicians and scientists, surgeons (ENT, craniofacial, oral and maxillofacial) and orthodontists. Microtia (external ear): none.bone-anchored prosthesis.Medpore framework.carved rib cartilage framework placed in a subcutaneous pocket from 9 years onwards (Figs 20.13, 20.14).Hearing deficit: hearing aids.bone conduction hearing aid.bone-anchored hearing aid.
Otological Effects of Paget's Disease
John C Watkinson, Raymond W Clarke, Christopher P Aldren, Doris-Eva Bamiou, Raymond W Clarke, Richard M Irving, Haytham Kubba, Shakeel R Saeed in Paediatrics, The Ear, Skull Base, 2018
The results of middle-ear reconstruction in PDB are generally poor due to the lack of a consistent pathology to explain the conductive hearing loss. Modern hearing aids offer a useful modality in the management of both the conductive and sensorineural loss. There are other surgical modalities mentioned in the literature, including the use of a bone-anchored hearing aid in one subject.20 Because of the vascularity of the bone, the procedure was performed in two stages, to allow the fixture to osseo-integrate. There are also case reports of the use of cochlear implantation with reasonable results.21
Data and Picture Interpretation Stations: Cases 1–45
Peter Kullar, Joseph Manjaly, Livy Kenyon, Joseph Manjaly, Peter Kullar, Joseph Manjaly, Peter Kullar in ENT OSCEs, 2023
A bone anchored hearing aid is a type of bone conduction device. These should be considered for any patient who is failing/unable to benefit from conventional hearing aids and yet has adequate cochlear reserve to benefit from amplification of sound.
Visual and auditory verbal long-term memory in individuals who rely on augmentative and alternative communication
Published in Augmentative and Alternative Communication, 2020
Michal Icht, Yedida Levine-Sternberg, Yaniv Mama
Of the 12 participants, eight had an estimated cognitive function within the normal range (according to their medical and educational records, and general level of function in everyday life), and four were judged to have a learning disability. Five had vision within normal limits, and seven had a visual impairment and used glasses. A single participant had hearing impairment and used a bone-anchored hearing aid. Seven participants were non-speaking and five had minimal functional speech with very low intelligibility, per SLP report. Note, the non-speaking participants were included since the production conditions did not involve speech (verbal production) but producing the target word using the AAC device (selecting the word’s letters on the SGD grid). Literacy skills were assessed by the SLPs, based on spelling abilities (for regular and irregular words, high and low frequency words), and on reading comprehension, and by parental or self-report on reading habits (e.g., reading novels or newspapers, home computer use, including e-mails, Facebook, etc.). Literacy level was scored on a 4-point scale, by SLPs (1: basic literacy level, could write and read in about the 4th grade level; 2: 7/8th-grade level; 3: 11th/12-grade level; 4: high or adult literacy level; see: Bar-On, 2011). Two participants scored 2, five scored 3, and five scored 4. Participants’ characteristics are presented in Table 1.
Audiological and subjective outcomes of 100 implanted transcutaneous bone conduction devices and preoperative bone conduction hearing aids in patients with bilateral microtia-atresia
Published in Acta Oto-Laryngologica, 2020
Jinsong Yang, Peiwei Chen, Chunli Zhao, Yujie Liu, Mengdie Gao, Zhigang Huang, Shouqin Zhao
Due to the absence of an external auditory canal, it prevents patients from using conventional air-conduction hearing aids. With the development of hearing aids technology, bone conduction hearing devices can transmit sound directly to the inner ear through the skull which have been the more reliable and effective choice for CMA patients. A bone-anchored hearing aid (BAHA®, Cochlear®, Sydney, Australia) was introduced in 1977. Though the implantation procedure of BAHA is simple, up to 37% of implanted children will experience at least one complication which is mainly caused by frequent skin infections around the implanted base [4]. Only 56.6% patients could insist on wearing BAHA regularly, because of the high incidence of some complications including recurrent soft tissue reactions and infections around the base (8–59%), implant loss (8.3%), and the need for additional surgery (5–42%) [5,6].
Common Audiological Functional Parameters (CAFPAs) for single patient cases: deriving statistical models from an expert-labelled data set
Published in International Journal of Audiology, 2020
Mareike Buhl, Anna Warzybok, Marc René Schädler, Omid Majdani, Birger Kollmeier
For the purpose of collecting labels for the given patient data, the data for each patient case from the database were assembled on one page (Supplementary Figure 1). This survey sheet is divided into two parts. The left-hand side displays available information about the respective patient, i.e. outcomes of audiological tests and information from the self-assessment questionnaire filled out by the patient – as was described in section “Database”; graphical representations were chosen as typical for audiogram, Goesa and ACALOS, and the other measures were represented on a one-dimensional scale (for the vocabulary test (WST), the z transform of the raw score was used, and 0 means average performance). The right-hand side of the survey sheet is assigned to the experts’ assessments. Audiological findings and treatment recommendations are provided in a list with checkboxes, respectively. For audiological findings, normal hearing, different shapes of cochlear hearing loss, conductive hearing loss, recruitment, central and fluctuating hearing loss were chosen to cover different aspects regarding inner and middle ear function as well as neural processing pathologies. In practice, it is expected that these findings occur alone or in combinations; hence, ticking more than one option was allowed. For treatment recommendations, the options were no provision, different types of acoustic hearing aids, bone-anchored hearing aid, middle ear implant and cochlear implant. The experts’ task was to tick one or several options from these lists. In case the expert considered different treatment recommendations for the two ears of a patient, the task was to assess the patient’s worse ear.
Related Knowledge Centers
- Bone Conduction
- Cochlea
- Conductive Hearing Loss
- Ear Canal
- Hearing Loss
- Inner Ear
- Ossicles
- Treacher Collins Syndrome
- Unilateral Hearing Loss
- Hearing Aid