Bone-Anchored Hearing Aid (BAHA) has been introduced by Tjellström in 1977 and its basic concept is a bone conduction hearing aid in conjunction with osseointegrated titanium implant. BAHA is composed of semi-implanted bone conduction hearing aid and titanium skin-penetrating abutment and fixture. Comparing conventional air-conduction and bone-conduction hearing aid, BAHA is demonstrated to have superior sound quality, no occlusion effect, no pain or headache caused by conventional contact type hearing aid. If we would compare BAHA with other implantable hearing device, BAHA requires relatively simple surgical technique and has a wide indication because BAHA can be implanted unrelated to the condition of the external and middle ear. We have implanted BAHA to the five Japanese patients for the first time. Our indication for BAHA is as follows ; the first one is an anomaly of the EAC, the second is hard to wear hearing aids because of persistent otorrhea, the third one is that we can not expect hearing gain by surgery such as tympanoplasty. All patients regarded BAHA as more comfortableness and better audibility than conventional hearing aid.
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