Brief Answer:
Indications for BAHA are different
Detailed Answer:
Hi,
Thanks for your query.
Your second PTA also shows a profound sensorineural hearing loss, a little less than the previous one but still profound. If it is improvement, it is minimal and as she is having good hearing in the other ear, you can wait further if you want but this improvement will occur naturally (if it occurs) and not with any medicine.
There can be an inter-operator variation in PTA, so please get the PTA done by the same person in the same sound treated chamber.
Still both the PTA's show SNHL and I wonder how a BAHA is going to help in such settings. For that matter, with the present status of hearing, if your audiologist says that BAHA will be effective, then a conventional digital
hearing aid will also be effective. BAHA is meant for
conductive hearing loss or mixed hearing loss and most of the candidates which go for BAHA have some difficulty in wearing the conventional aid usually because of an issue with external auditory canal. In your case, it is not there (you have not written about that).
Still if you want to go for a BAHA instead of a conventional hearing aid, go for trial of BAHA with a head band and then if satisfied, for surgery.
But still my opinion is- your patient is having profound SNHL, she has two options, a hearing aid or a
cochlear implant.
If a hearing aid trial is effective with this much SNHL, then go for hearing aid (and a conventional hearing aid is cheaper that BAHA and will be equally effective in your patient).
If no hearing aid is effective (as is a frequent finding with profound SNHL), then cochlear implant is the option and not BAHA.
The indications for BAHA and cochlear implant are different and a BAHA can not be a substitute for Cochlear implant and vice versa.
Please consult an ENT and discuss with him/her and he/she can explain you.
With kind regards
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues -
Book a Call now.