Description
Three decades after the introduction of the first bone-anchored hearing aids, the available systems have improved significantly and the field is expanding faster than ever. New technologies such as digital signal processing have opened new avenues unique to bone conduction hearing aids. Better insights into the physiology of bone-conducted hearing have not only changed the field but also provided ideas for new areas of application.In this volume of Advances in Oto-Rhino-Laryngology, renowned researchers and experienced clinicians from all over the world present the latest findings and practices. Reviews on the theoretical background of bone conduction hearing, presentation of currently available hearing aid systems, chapters on monaural and binaural hearing with implantable bone conduction hearing aids, a comparison with conventional hearing aids and a glimpse into the future of implantable bone conduction hearing aids render this volume an invaluable reference book to ENT surgeons, audiologists, hearing aid acousticians and researchers alike.
Chapter
Historical Background of Bone ConductionHearing Devices and Bone ConductionHearing Aids
Antiquity to Mid- 19th Century
Mastoid Bone External Stimulators
Bone- Anchored Hearing Aid
Acoustic and Physiologic Aspects of BoneConduction Hearing
Clinical Measurements using BoneConduction
Basilar Membrane Stimulation
Pathways for Bone- Conducted Sound
Bone Conduction Sound Transmission in theSkull
Transcranial Transmission
Binaural Bone Conduction Hearing
Bone Conduction in Relation to HearingProtection
Implications for Bone Conduction Hearing AidUsage
Overview over Different Systems
An Overview of Different Systems:The Bone- Anchored Hearing Aid
Physiology of Bone Conduction
Description of the Baha System
Development of Different Generations of theBaha Sound Processors
The Ponto Bone- Anchored Hearing System
Audiograms and Preoperative Trial
Discussion and Conclusion
Partially Implantable Bone Conduction HearingAids without a Percutaneous Abutment (Otomag):Technique and Preliminary Clinical Results
Surgery for the Bone- Anchored Hearing Aid
Skin and Soft Tissue Work
Alternatives in Skin and Soft TissueProcedures
Drilling and Insertion of the Titanium Screw
Alternative: Two- Stage Procedure
Postoperative Care and Follow- Up
Evolving Indications for Baha in Children
When Is the Best Time to Implant Children?
Complications of Bone- Anchored Hearing Devices
Soft Tissue Complications
Intraoperative Complications
Postoperative Complications
Pediatric Patients and Soft TissueComplications
Reasons for Soft Tissue Complications
Avoiding Soft Tissue Complications
Audiological Results with Baha® in Conductive andMixed Hearing Loss
Conductive Hearing Loss and Bone ConductionDevices: Restored Binaural Hearing?
Bone- Anchored Devices in Single- Sided Deafness
Sound on the Side of Impairment/HeadShadow
Factors Influencing the Decision for Baha inUnilateral Deafness: The Bern Benefitin Single- Sided Deafness Questionnaire
Challenges and Recent Developments in SoundProcessing for Baha®
Dedicated Amplification for Bone Conduction
Discussion and Conclusions
Implantable and Nonimplantable Devices
Headbands, Testbands and Softbands inPreoperative Testing and Application ofBone- Anchored Devices in Adults and Children
Importance of Preoperative Evaluation ofBone- Anchored Devices
Test Rod, Headband, Testband and Softband
Differences in the Results of Pure Tone andSpeech Audiometry Obtained with theTestband, the Headband and the ImplantedFixture/Abutment
Discussion and Conclusions
Bone- Anchored Hearing Aids versusConventional Hearing Aids
Conventional Air Conduction Devices
Conventional Bone Conduction Devices
Bone- Anchored Hearing Aids
Advantages of Baha versus Bone Conductionand Air Conduction Hearing Aids
Disadvantages of Bone- Anchored Hearing Aids
The Future of Bone Conduction Hearing Devices
Past, Present and Future Bone ConductionHearing Systems
The Bone Conduction Implant