Volume:8, Issue: 1, 2014 Page No: 1 - 6
ISSN: 2517-9969
Bone Anchored Hearing Implants (BAHI) are
routinely used in patients with conductive or mixed hearing loss, e.g.
if conventional air conduction hearing aids cannot be used. New
sound processors and new fitting software now allow the adjustment
of parameters such as loudness compression ratios or maximum
power output separately. Today it is unclear, how the choice of these
parameters influences aided speech understanding in BAHI users.
In this prospective experimental study, the effect of varying the
compression ratio and lowering the maximum power output in a
BAHI were investigated.
Twelve experienced adult subjects with a mixed hearing loss
participated in this study. Four different compression ratios (1.0; 1.3;
1.6; 2.0) were tested along with two different maximum power output
settings, resulting in a total of eight different programs. Each
participant tested each program during two weeks. A blinded Latin
square design was used to minimize bias.
For each of the eight programs, speech understanding in quiet and
in noise was assessed. For speech in quiet, the Freiburg number test
and the Freiburg monosyllabic word test at 50, 65, and 80 dB SPL
were used. For speech in noise, the Oldenburg sentence test was
administered.
Speech understanding in quiet and in noise was improved
significantly in the aided condition in any program, when compared
to the unaided condition. However, no significant differences were
found between any of the eight programs. In contrast, on a subjective
level there was a significant preference for medium compression
ratios of 1.3 to 1.6 and higher maximum power output.