Outcomes of Bone Anchored Hearing Aid Implant at Universiti Kebangsaan Malaysia Medical Centre (UKMMC)

  • Suhana Abdul Rahim
  • Bee-See Goh
  • Safinaz Zainor
  • Roslenda Abdul Rahman
  • Asma Abdullah
Original Article


The cross sectional study was conducted in Universiti Kebangsaan Malaysia Medical Center (UKMMC), Malaysia from August 2012 to December 2013. All patients implanted with in UKMMC from December 2001 until December 2012 was included. Glasgow Benefit Inventory (GBI) questionnaires and UKMMC questionnaires were used as part of the assessment tool. The GBI is a scoring which measures the change in health status produced by surgical interventions. UKMMC questionnaires was invented by our department to assess questions related to social and life style of patients and also the cosmetic perspective Baha implant and other daily related activities. The audiological assessment was assessed using hearing aid gain threshold. Complication with regards to skin reaction was graded using Holger Skin Classification. A total of 40 patients underwent Baha implant were recruited but only 35 patients fulfilled the criteria and included in this study for analysis. Age of patients ranged from 5 year old to 38 year old, with median of 13 years old. There were 22 patients (62.8%) were male and 13 patients (37.1%) were females. Almost all cases were canal atresia except one adult patient was a case of bilateral chronic discharging ear with chronic irritation with ear mould. Majority of patients 21 (60%) have hearing level of moderate to severe hearing loss (40–89 dB) and 14 patients (40%) have mild to moderate hearing loss (20–39 dB). The level of hearing was retested post operatively. All of the patients have improvement in their aided hearing with the range of 10–25 dBL which is statistically significant at p value of <0.05. The GBI was scored positively in all subscales. Majority of patients (91.4%) used BAHA more than 4 h per day and 88.6% agreed that BAHA is cosmetically acceptable. All patients experienced some form of skin irritation (Holger grade 1–2) however only 20% required surgical intervention. All our patients have range of 10–25 dB improvement of their aided hearing which is statistically significant at p value of <0.05. BAHA has been proven to show significant benefit in audiological improvement and quality of life.


Baha implant Bone conduction hearing aid Conductive hearing loss Quality of life 



This study was funded by Secretariat for Medical Research and Innovation, UKM Medical Center (Grant number: FF- 181-2013).

Compliance with Ethical Standard

Conflict of interest

All the authors stated above declare that they have no conflict of interest.

Ethical Approval

All procedures performed in this study were in accordance with the ethical standards of Research Ethic Committee Universiti Kebangsaan Malaysia (RECUKM) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Formal consent obtained from each of the individuals in this study.

Informed Consent

Informed consent together with formal consent were obtained from all individual participants for whom indentifying information is included in this article.


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Copyright information

© Association of Otolaryngologists of India 2017

Authors and Affiliations

  • Suhana Abdul Rahim
    • 1
  • Bee-See Goh
    • 1
    • 2
  • Safinaz Zainor
    • 1
  • Roslenda Abdul Rahman
    • 1
  • Asma Abdullah
    • 1
    • 2
  1. 1.Department of Otolaryngology, Head and Neck SurgeryUniversiti Kebangsaan Malaysia Medical CentreKuala LumpurMalaysia
  2. 2.Institute of Ear, Hearing and Speech (Institute-HEARS)Universiti Kebangsaan MalaysiaKuala LumpurMalaysia

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