Twenty-six patients with severe mixed hearing loss (PTA range 57 to 10
8 dB HL) were fitted with the ''super-bass'' bone-anchored hearing aid
(BAHA) HC220 and divided into two groups. Group I contained 19 patien
ts who previously used a conventional bone conduction hearing aid that
had resulted in serious complaints. Group II contained 7 patients who
had previously used an air conduction hearing aid that could no longe
r be used because of recurrent otorrhoea. Sound field speech audiometr
y for the patients in Group I revealed that for 7 patients the maximum
phoneme score did not change, but that it improved for 12 patients wi
th the HC220, compared with their conventional bone conduction hearing
aid. In Group II, the maximum phoneme score improved for 3 patients,
worsened for 3 patients and did not change for 1 patient with the HC22
0, compared with their air conduction hearing aid. Speech recognition
in noise was difficult for most of the patients regardless of group. H
owever, results were obtained from 10 patients, and 7 improved signifi
cantly with the HC220 compared with their previous aid. Overall, speec
h recognition with the HC220 was comparable with or better than a conv
entional bone conduction hearing aid; however, compared with an air co
nduction hearing aid the results were ambiguous.