Bone -Anchored Hearing Aid versus Reconstruction of the External Auditory Canal in Children and Adolescents with Congenital Aural Atresia: A Comparison Study of Outcomes
Objectives/Hypothesis: Congenital aural atresia is a rare condition in children affecting 1 in 10,000 to 20,000 children a year. Surgery is required to restore hearing to facilitate normal development. The objective of this study was to compare outcomes in hearing, complications and quality of lif...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2014-01-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | http://journal.frontiersin.org/Journal/10.3389/fped.2014.00005/full |
| _version_ | 1811215840191709184 |
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| author | Debra Mei Don Soroush eFarnoosh Tania eMitsinikos Dennis eMaceri |
| author_facet | Debra Mei Don Soroush eFarnoosh Tania eMitsinikos Dennis eMaceri |
| author_sort | Debra Mei Don |
| collection | DOAJ |
| description | Objectives/Hypothesis: Congenital aural atresia is a rare condition in children affecting 1 in 10,000 to 20,000 children a year. Surgery is required to restore hearing to facilitate normal development. The objective of this study was to compare outcomes in hearing, complications and quality of life of surgical reconstruction of the external auditory canal (EACR) and bone-anchored hearing aid (BAHA) in a pediatric population with congenital aural atresia. Study Design: Subjects were children who had a diagnosis of congenital aural atresia or stenosis and who received either BAHA or EACR. Methods: The medical records of 68 children were reviewed for operative complications and audiometric results. A quality of life questionnaire was prospectively administered to a subset of subjects. Results: Pre-operatively, air conduction threshold were not significantly different between groups at 500, 1000, 2000 and 4000 Hz (p>0.05). Post-operatively, the BAHA group (44.3 ± 14.3 and 44.5 ± 11.3) demonstrated a significantly larger hearing gain than the EACR group (20.0 ± 18.9 and 15.3 ± 19.9) in both the short and long-term periods (p<0.001). Overall the incidence of complications and need for revision surgery were comparable between groups (p>0.05). Quality of life assessment revealed no statistical significance between the two groups (p>0.05) Conclusion: Although the quality of life and incidence of surgical complications between the two interventions was not significantly different, BAHA implantation appears to provide a better, more reliable audiologic outcome than EACR. |
| first_indexed | 2024-04-12T06:29:18Z |
| format | Article |
| id | doaj.art-79adf0d571d5424bb973d251ee652309 |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-04-12T06:29:18Z |
| publishDate | 2014-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-79adf0d571d5424bb973d251ee6523092022-12-22T03:44:03ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602014-01-01210.3389/fped.2014.0000567195Bone -Anchored Hearing Aid versus Reconstruction of the External Auditory Canal in Children and Adolescents with Congenital Aural Atresia: A Comparison Study of OutcomesDebra Mei Don0Soroush eFarnoosh1Tania eMitsinikos2Dennis eMaceri3Children's Hospital of Los AngelesUniversity at Buffalo School of Medicine and Biomedical ScienceChildren's Hospital of Los AngelesChildren's Hospital of Los AngelesObjectives/Hypothesis: Congenital aural atresia is a rare condition in children affecting 1 in 10,000 to 20,000 children a year. Surgery is required to restore hearing to facilitate normal development. The objective of this study was to compare outcomes in hearing, complications and quality of life of surgical reconstruction of the external auditory canal (EACR) and bone-anchored hearing aid (BAHA) in a pediatric population with congenital aural atresia. Study Design: Subjects were children who had a diagnosis of congenital aural atresia or stenosis and who received either BAHA or EACR. Methods: The medical records of 68 children were reviewed for operative complications and audiometric results. A quality of life questionnaire was prospectively administered to a subset of subjects. Results: Pre-operatively, air conduction threshold were not significantly different between groups at 500, 1000, 2000 and 4000 Hz (p>0.05). Post-operatively, the BAHA group (44.3 ± 14.3 and 44.5 ± 11.3) demonstrated a significantly larger hearing gain than the EACR group (20.0 ± 18.9 and 15.3 ± 19.9) in both the short and long-term periods (p<0.001). Overall the incidence of complications and need for revision surgery were comparable between groups (p>0.05). Quality of life assessment revealed no statistical significance between the two groups (p>0.05) Conclusion: Although the quality of life and incidence of surgical complications between the two interventions was not significantly different, BAHA implantation appears to provide a better, more reliable audiologic outcome than EACR.http://journal.frontiersin.org/Journal/10.3389/fped.2014.00005/fullEar CanalBAHACongenital aural atresiaExternal auditory canal reconstructionBone anchored hearing aid |
| spellingShingle | Debra Mei Don Soroush eFarnoosh Tania eMitsinikos Dennis eMaceri Bone -Anchored Hearing Aid versus Reconstruction of the External Auditory Canal in Children and Adolescents with Congenital Aural Atresia: A Comparison Study of Outcomes Frontiers in Pediatrics Ear Canal BAHA Congenital aural atresia External auditory canal reconstruction Bone anchored hearing aid |
| title | Bone -Anchored Hearing Aid versus Reconstruction of the External Auditory Canal in Children and Adolescents with Congenital Aural Atresia: A Comparison Study of Outcomes |
| title_full | Bone -Anchored Hearing Aid versus Reconstruction of the External Auditory Canal in Children and Adolescents with Congenital Aural Atresia: A Comparison Study of Outcomes |
| title_fullStr | Bone -Anchored Hearing Aid versus Reconstruction of the External Auditory Canal in Children and Adolescents with Congenital Aural Atresia: A Comparison Study of Outcomes |
| title_full_unstemmed | Bone -Anchored Hearing Aid versus Reconstruction of the External Auditory Canal in Children and Adolescents with Congenital Aural Atresia: A Comparison Study of Outcomes |
| title_short | Bone -Anchored Hearing Aid versus Reconstruction of the External Auditory Canal in Children and Adolescents with Congenital Aural Atresia: A Comparison Study of Outcomes |
| title_sort | bone anchored hearing aid versus reconstruction of the external auditory canal in children and adolescents with congenital aural atresia a comparison study of outcomes |
| topic | Ear Canal BAHA Congenital aural atresia External auditory canal reconstruction Bone anchored hearing aid |
| url | http://journal.frontiersin.org/Journal/10.3389/fped.2014.00005/full |
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