Uso de BAHA em crianças: Indicações, resultados e complicações
DOI:
https://doi.org/10.34631/sporl.100Palavras-chave:
BAHA, prótese auditiva ancorada no osso, reabilitação auditiva em crianças, hipoacusia de conduçãoResumo
O BAHA (Bone Anchored Hearing Aid - prótese auditiva ancorada no osso) é utilizado em malformações do ouvido externo e médio, otorreia crónica, doença ossicular inoperável e como alternativa à prótese auditiva convencional por inadaptação/ impossibilidade. Este artigo descreve a experiência de colocação de BAHA no Hospital Maria Pia – Centro Hospitalar do Porto na última década, por estudo retrospectivo de 47 pacientes. O ganho audiométrico médio foi de 33,9 dB em relação aos valores base e de 14,4 dB em relação ao uso de próteses auditivas convencionais, com limiar auditivo médio com BAHA de 17,8 dB. Não houve qualquer complicação intra-operatória. No pós-operatório, quatro casos exigiram cirurgia para revisão da pele, em dois casos não houve integração óssea do implante e em três casos houve extrusão do implante por traumatismo directo. Este estudo conclui que os BAHA são um método eficaz e seguro de aparelhamento auditivo em crianças.Referências
Kochkin, R. Quantifying the obvious: the impact of hearing instruments on quality of life. Hear Rev 2000; 7; 6-34.
Crandell C. Hearing aids: their effects on functional health status. Hear J 1998; 51; 22-30.
Yoshinaga C, Coulter D, Thompson V. Developmental outcomes of children with hearing loss born in Colorado hospitals with and without universal newborn hearing screening programs. Semin Neonatol. 2001; 6; 521-529.
Tjellstrom A, Hakansson B. The boneanchored hearing aid. Design principles, indications, and long-term clinical results. Otolaryngol Clin North Am 1995; 28; 53-72.
Tjellstrom A, Granstrom G. Long-term follow-up with the boneanchored hearing aid: a review of the first 100 patients between 1977 and 1985. Ear Nose Throat J 1994; 73; 112-114.
Lustig L, Arts H, Brackmann D, Francis H et al. Hearing rehabilitation using BAHA: results in 40 patients. Otol Neurotol 2001; 22; 328-334.
Iwasaki S, Hashimoto Y, Nagura M, Takebayashi et al. Comparison of audiological performance bewteen bone-anchored and conventional hearing aids. Nippon Jibiinkoka Gakkai Kaiho 2005; 108; 1110-1113.
Papsin B, Sirimanna T, Albert D, Bailey C. Surgical experience with boneanchored hearing aids in children. Laryngoscope 1997; 107; 801-806.
Powell R, Burrell S, Cooper H, Proops D. The Birmingham bone anchored hearing aid programme: paediatric experience and results. J Laryngol Otol Suppl 1996; 21; 21-29.
Davids T, Karen A, Clutton D, Papsin B. BAHA in Infants and Children Younger Than 5 Years. Arch Otolaryngol Head Neck Surg 2007; 133; 51-55.
Tjellstrom A, Granstrom G. Bone-anchored hearing aids: current status in adults and children. Otolaryngol Clin North Am. 2001; 34; 337-364.
McLarnon C, Davison T, Johnson I. Bone-anchored hearing aid: comparison of benefit by patient subgroups. Laryngoscope 2004; 114; 942-944.
Wazen J, Spitzer J, Ghossaini S, Kacker A et al. Results of the BAHA in unilateral hearing loss. Laryngoscope 2001; 111; 955-958
Bosman A, Hol M, Snik A, Mylanus E et al. Bone-anchored hearing aids in unilateral inner ear deafness. Acta Otolaryngol 2003; 123; 258- 260.
Hagr, A. BAHA: Bone-Anchored Hearing Aid. International Journal of Health Sciences, Qassim University, 2007 Jul; 1; 265-276.
Jacobsson M, Albrektsson T, Tjellstrom A. Tissue-integrated implants in children. Int J Pediatr Otorhinolaryngol 1992; 24; 235-243.
Holgers K, Tjellstrom A, Erlandsson B. Soft tissue reactions around percutaneous implants: a clinical study of soft tissue conditions around skinpenetrating titanium implants for BAHA. Am J Otol 1988; 9; 56-59.
Scholz M, Eufinger H, Anders A, Illerhaus B et al. Intracerebral abscess after abutment change of a BAHA. Otol Neurotol 2003; 24; 896-899.
Tjellstrom A, Niparko J. Intracerebral abscess after BAHA abutment change. Otol Neurotol 2005; 26; 552-553.
Snik A, Mylanus E, Proops D, Wolfaardt J et al. Consensus statements on the BAHA system: where do we stand at present?. Ann Otol Rhinol Laryngol Suppl. 2005 Dec; 195; 2-12.
Coutinho M, Magalhães A, Matos C. Bone Anchored Hearing Aids in Children with Cleft Palate, Int. Adv. Otol. 2009; 5; 261-264.
Snik A, Mylanus E, Cremers C. The bone-anchored hearing aid compared with conventional hearing aids. Audiologic results and the patients’ opinions. Otolaryngol ClinNorth Am 1995; 28; 73-79.
McDermott A, Dutt S, Reid A, Proops D. An intra-individual comparison of the previous conventional hearing aid with the boneanchored hearing aid: The Nijmegen group questionnaire. J Laryngol Otol Suppl 2002; 28; 15-19.
House J, Kutz J. Bone-anchored hearing aids: incidence and management of postoperative complications. Otol Neurotol. 2007; 28; 213-217.