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ENT · Ear and audiology: BAHA indication
Sample itemA 25-year-old has had complete unilateral deafness since a viral illness. The opposite ear is normal, and CROS aids are unsatisfactory. Which device transmits sound from the deaf side to the healthy cochlea?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Bone anchored hearing aid
A bone anchored hearing aid vibrates the skull through a titanium implant, and the vibrations reach the healthy cochlea by bone conduction. It is used in single-sided deafness and in conductive loss such as atresia or chronic discharge. A conventional aid cannot help a dead cochlea.
Option by option
A. Auditory brainstem implant
A brainstem implant is for absent cochlear nerve and is too invasive here.
B. Bone anchored hearing aid (correct)
Correct. Bone conduction carries sound across the skull to the good cochlea.
C. Stapes prosthesis
A stapes prosthesis is for stapes fixation.
D. Conventional air conduction aid on the deaf ear
An air conduction aid needs residual cochlear function on that ear.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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