Paediatric Baha.

Abstract

Bone-anchored hearing aids (Baha(®)) are a well-established and readily available option for aural rehabilitation for children. Audiological outcomes and paediatric quality of life results have added to the evidence of benefit of Baha. Recent years have seen an increase in the number of centres worldwide providing a Baha service for children. Indications for Baha have evolved. The paediatric population present a variety of challenges for clinicians who undertake Baha surgery. Complex medical conditions, social and educational issues, and trauma are such examples. The surgical techniques are now varied and the timing of surgery varies between surgeons and Baha centres. Fortunately, serious complications are very rare, and to date there are no more than six significant such case reports in the literature. Careful patient selection and a multidisciplinary team approach with an understanding of the problems that present in children should result in a successful outcome for the child.