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Thread: BAHA, CI, Which one? Audi has me confused!

  1. Default BAHA, CI, Which one? Audi has me confused!

    Shortened post, because I've had to re-type this 4 times because of my computer crashing.

    -Severe-profound hearing loss, audiogram attached, slight conductive loss
    -Saw CI clinic about possible implantation through Medicare
    -Was told speech discrimination was too good for CI but that I was a candidate for BAHA
    -Now have appointment on Tuesday the 6th with a specialist about BAHA and possible stapes surgery? (wasn't clear on that or why I would need it)


    As far as I'm aware, a BAHA wouldn't help me with sensorineural hearing loss, especially at the levels I'm at. I want to go into this appointment firm about what I need and with good information. Can anyone help me? Any help would be appreciated!

    Audogram: http://i.imgur.com/ZIFlwu1.jpg

  2. Default

    A BAHA simply puts sound waves into your skull. There are only two possible purposes for it - 1. route sound from bad side to a good ear, or 2. route sound to a good inner ear around a middle or outer ear problem.

    A CI replaces your inner ear function and stimulates the hearing nerve directly.
    Left masked bone:
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    Freq Right Left
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    That I know- but why would they recommend BAHA if my inner ear is the problem, I.E. SNHL? Should I just go into the appointment insisting on CI?

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    Quote Originally Posted by StarKidJupiter View Post
    That I know- but why would they recommend BAHA if my inner ear is the problem, I.E. SNHL? Should I just go into the appointment insisting on CI?
    You should probably ask whoever gave you that advice why they did so. You might be missing something.

    Stapes surgery would be for a conductive loss problem, not a SN problem. Perhaps you have mixed loss (i.e. both types are present)?

    You should be able to contact whomever gave you confusing advice, and ask for clarification. I know it's not always easy, but it may be well worth it.

    Hopefully others more knowledgeable than I will chime in as well!
    Left masked bone:
    250 30
    500 45
    1000 35
    2000 55
    4000 50

    Freq Right Left
    250 15 105
    500 15 105
    1000 5 110
    2000 0 100
    3000 5 105
    4000 10 105
    6000 10 >110
    8000 15 >110

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    I hope so! I'm anxious about this appointment and I'm afraid they're puttig me through the ringer because I tend to bluff very often and very well even when I don't understanf the words, heh.

  6. #6

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    Most HP aids would fit that loss

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    Quote Originally Posted by Doc Jake View Post
    Most HP aids would fit that loss
    I am already wearing high power hearing aids, but getting little benefit from them. Speech is just garbled and I can only occasionally catch a good word or two.

  8. Default

    I'm just a novice nobody who doesn't even use hearing aids yet, but ... it sure looks like your bone conduction scores are better than your air conduction scores. That might suggest that a BAHA is worth exploring? It can be tried in an audiologists office without surgery; they just sort of clamp it to your head.

    Again, why not contact whoever made those recommendations, and ask them (calmly, neutrally) why they did so? Perhaps they had good reasons that they can better explain to you.
    Left masked bone:
    250 30
    500 45
    1000 35
    2000 55
    4000 50

    Freq Right Left
    250 15 105
    500 15 105
    1000 5 110
    2000 0 100
    3000 5 105
    4000 10 105
    6000 10 >110
    8000 15 >110

  9. #9
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    Default

    That's a huge conductive loss on top (below) a small SN loss. Therefore it's mixed but the conductive element is by far the most significant.

    The Carhart's notch at 2Khz is classic Otoscleorsis/stapes fixation.

    Nobody suggesting middle-ear reconstruction or a direct shunt from the drum to the stapes footplate?

    You'd do well from BC aids like the BAHA due to the good bilateral SN - has nobody considered BC specs to see how you find the improvement?

    I'm also surprised that you have maxed-out a pair of properly fitted power aids, I've fitted worse losses than that with linear-ish settings/soft moulds and the response is usually quite good in terms of clarity - especially if you can keep the feedback in check.
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  10. #10
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    How you describe your loss and having good word recognition scores doesn't seem likely. I think I'd see another ENT and not guess during the WR test. That should get you the surgery you really need. We've people here who have had the stapes surgery and they had great result. That seems the better solution over BAHA.
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