Challenges and recent developments in sound processing for Baha®.

Osseointegrated auditory implants such as Baha(®) provide an efficient pathway for sound delivery and an excellent amplification choice for patients with conductive or mixed hearing loss or single-sided sensorineural deafness. But at the same time, bone conduction hearing provides a number of key challenges that need to be addressed. One solution is computer-based fitting software to measure in-situ thresholds directly through the Baha sound processor and to individually prescribe amplification settings based on the patient's hearing loss and degree of transcranial attenuation. Additionally, technologies such as automatic directional microphones and noise reduction systems further improve hearing performance in noisy situations. This paper highlights recent technological innovations and summarizes data on the advantages for the Baha patient population using the sound processing capabilities available in the latest Baha sound processors.