HSC Section 8_April 2017

CROS VS BAHD FOR SINGLE-SIDED DEAFNESS

CONCLUSION

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Our pilot study suggests that both the modern CROS and BAHD seem to perform roughly equivalently in al- leviating the auditory and subjective handicap associated with SSD. Previous recommendations from older studies that used older CROS and BAHD devices that seem to favor the BAHD need to be re-evaluated. In our own center, with no obvious advantage of the BAHD, and the risks and cost of surgery, we now recommend a trial of CROS hearing aids as first-line SSD treatment option. 1. Wie OB, Pripp AH, Tvete O. Unilateral deafness in adults: effects on communication and social interaction. Ann Otol Rhinol Laryngol 2010;119:772 Y 81. 2. Taylor B. Contralateral routing of the signal amplification strate- gies. Semin Hear 2010;31:378 Y 92. 3. Arndt S, Aschendorff A, Laszig R, et al. Comparison of pseudo- binaural hearing to real binaural hearing rehabilitation after cochlear implantation in patients with unilateral deafness and tinnitus. Otol Neurotol 2011;32:39 Y 47. 4. Vermeire K, Van de Heyning P. Binaural hearing after cochlear implantation in subjects with unilateral sensorineural deafness and tinnitus. Audiol Neurotol 2009;14:163 Y 71. 5. Moore BC, Popelka GR. Preliminary comparison of bone-anchored hearing instruments and a dental device as treatments for unilateral hearing loss. Int J Audiol 2013;52:678 Y 86. 6. Gelfand SA. Usage of CROS hearing aids by unilaterally deaf patients. Arch Otolaryngol 1979;105:328 Y 32. 7. Harford E, Barry J. A rehabilitative approach to the problem of unilateral hearing impairment: the contralateral routing of signals CROS. J Speech Hear Dis 1965;30:121 Y 38. 8. Oeding K, Valente M. Sentence recognition in noise and perceived benefit of noise reduction on the receiver and transmitter sides of a BICROS hearing aid. J Am Acad Audiol 2013;24:980 Y 91. 9. Oeding K, Valente M. The effectiveness of the directional micro- phone in the Oticon Medical Ponto Pro in participants with unilat- eral sensorineural hearing loss. J Am Acad Audiol 2013;24:701 Y 13. 10. Baguley DM, Bird J, Humphriss RL, Prevost AT. The evidence base for the application of contralateral bone anchored hearing aids in acquired unilateral sensorineural hearing loss in adults. Clin Otolaryngol 2006;31:6 Y 14. 11. Bosman AJ, Hol MK, Snik AF, Mylanus EA, Cremers CW. Bone-anchored hearing aids in unilateral inner ear deafness. Acta Otolaryngol 2003;123:258 Y 60. 12. Hol MK, Bosman AJ, Snik AF, Mylanus EA, Cremers CW. Bone- anchored hearing aids in unilateral inner ear deafness: an evaluation of audiometric and patient outcome measurements. Otol Neurotol 2005;26:999 Y 1006. 13. Hol MK, Kunst SJ, Snik AF, Bosman AJ, Mylanus EA, Cremers CW. Bone-anchored hearing aids in patients with acquired and congenital unilateral inner ear deafness (Baha CROS): clinical eval- uation of 56 cases. Ann Otol Rhinol Laryngol 2010;119:447 Y 54. 14. Hol MK, Kunst SJ, Snik AF, Cremers CW. Pilot study on the effectiveness of the conventional CROS, the transcranial CROS and the BAHA transcranial CROS in adults with unilateral inner ear deafness. Eur Arch Otorhinolaryngol 2010;267:889 Y 96. 15. Lin LM, Bowditch S, Anderson MJ, May B, Cox KM, Niparko JK. Amplification in the rehabilitation of unilateral deafness: speech REFERENCES

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