Implantable Prosthesis of Osseous Conduction (BAHA): Case Report

Izabella Vince Garcia Pedriali; Maurico Buschle; Rita de Cássia Mendes; André Luiz Ataíde; Rodrigo Pereira; Trissia Maria Farah Vassoler; José Fernando Polanski; Angela Ribas; Claudia Mittelmann Stumpf; Raquel Alves Nobre; Roberta Daroit

doi:10.1590/S1809-48722011000200020

Arquivos Internacionais de Otorrinolaringologia, Inhaltsverzeichnis

Arquivos Internacionais de Otorrinolaringologia 2011; 15(02): 249-255
DOI: 10.1590/S1809-48722011000200020

Case Report

Thieme Publicações Ltda Rio de Janeiro, Brazil

Implantable Prosthesis of Osseous Conduction (BAHA): Case Report

Prótese Implantável de Condução Óssea (BAHA): Relato de Caso

Autor*innen

Izabella Vince Garcia Pedriali

^*Master in Communication Disorders. Phonoaudiologist.
Maurico Buschle

^**Master in Surgical Clinics – PR's. Assistant Professor at UFPR's Department of Ophthalmology-Otorhinolaryngology (OFT-ORL).
Rita de Cássia Mendes

^***Master in Surgical Clinics – UFPR's. Otorhinolaryngologist Doctor at UFPR's Clinical Hospital.
André Luiz Ataíde

^****Otorhinolaryngologist Doctor. Predecessor in Otology in Residence at Santa Casa de Curitiba's ORL and President of Fisch Foundation in Brazil.
Rodrigo Pereira

^*****Post-Graduation Coordinator in Otorhynolaryngology at Pequeno Príncipe Hospital. Post-Graduation Coordinator at Otorhinopediatrics at Pequeno Príncipe Hospital.
Trissia Maria Farah Vassoler

^******Specialized in Otorhinolaryngology from the Brazilian Society of Otorhinolaryngology and Cervicofacial Surgery. Otorhinolaryngologist Doctor.
José Fernando Polanski

^*******Master in Otorhinolaryngology from Federal University of Sao Paulo. Predecessor in Medical Residence in Otorhynolaryngology at Evangelical Hospital of Curitiba.
Angela Ribas

^********Doctor in Environment and Urban Development. Phonoaudiologist.
Claudia Mittelmann Stumpf

^*********Specialized in Audiology. Phonoaudiologist.
Raquel Alves Nobre

^**********Specialized in Clinical and Educational Audiology from HRAC-USP. Phonoaudiologist.
Roberta Daroit

^***********Specialized in Audiology from UTP. Phonoaudiologist.

Abstract

Summary

Introduction: The implantable prosthesis of osseous conduction (BAHA) is deemed to be an excellent option in the auditory rehabilitation of patients with conductive and mixed hearing loss, unilaterally or bilaterally, and unilateral sensorineural hearing loss. It has been a good advantage over the conservative bone conduction apparatus and those of individual sound-amplifier apparatus (ISAA), when their usage becomes unfeasible because of chronic otitis externa, which has a hard clinic control.

Objective: To introduce the first BAHA case performed in Brazil, as duly authorized by ANVISA (National Agency for Sanitary Surveillance), to rehabilitate the mixed hearing loss with occurrences of chronic otitis externa.

Method: 50-year-old female patient with right-ear moderate and left-ear severe hearing loss, bilateral tinnitus derived from otosclerosis, was submitted to 04 surgeries of stapedotomy and unable to use ISAA as a result of otorrhea and bilateral otalgia. The medical and audiological evaluation indicated the benefit of using BAHA. Having surgery been performed and BAHA implemented, the patient showed a significant improvement in audiometric thresholds, speech perception and distinction, as well as she declared to be extremely satisfied with the esthetic factor.

Final commentaries: BAHA surgical process is safe, simple and swift, thus providing excellent audiological results and a higher degree of satisfaction to patients.

Resumo

Introdução: A Prótese Implantável de Condução Óssea (BAHA) consiste em uma excelente opção na reabilitação auditiva de pacientes com perda auditiva condutiva e mista uni ou bilateral, e sensorioneural unilateral. Tem sido uma alternativa vantajosa sobre os aparelhos de condução óssea convencionais e os aparelhos de amplificação sonora individuais (AASI) quando o uso dos mesmos fica impossibilitado pela presença de otite externa crônica de difícil controle clínico.

Objetivo: Apresentar o primeiro caso de BAHA realizado no Brasil, após a autorização da ANVISA, para a reabilitação da perda auditiva mista com episódios de otite externa crônica.

Método: Paciente do sexo feminino, 50 anos, com perda auditiva de grau moderado à direita e severo à esquerda, zumbido bilateral, decorrente de otosclerose, submetida a quatro cirurgias de estapedotomia e com impossibilidade de uso de AASI devido a otorreia e otalgia bilateral. A avaliação médica e audiológica indicaram o benefício do BAHA. Realizada a cirurgia e implantação do sistema BAHA, a paciente apresentou melhora significativa nos limiares audiométricos, na percepção e discriminação da fala, além de relatar extrema satisfação relacionada ao fator estético.

Comentários Finais: O processo cirúrgico do BAHA é seguro, simples e rápido, proporcionando excelentes resultados audiológicos e alto grau de satisfação por parte dos pacientes.

Keywords

prosthesis and implants - hearing loss - otitis externa

Palavras-chave

próteses e omplantes - perda auditiva - otite externa

Volltext

Referenzen

Bibliographical References
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