Authors
Sih-Yu Chan, Kristan Alfonso, Jennifer Drob, Kathleen Hosek, Yi-Chun Carol Liu
Published in
The Laryngoscope. Sep 09, 2026. Epub Sep 09, 2026.
Abstract
To analyze the demographic and clinical factors associated with adherence to bone conduction hearing device follow-up care in pediatric patients with microtia and aural atresia.
Retrospective chart review of 127 patients in a tertiary care microtia database (2015-2025). Data collected included ethnicity, insurance type, current age, fitting age, unilateral versus bilateral hearing loss, time to first follow-up, annual visit frequency, and daily datalogging hours, each analyzed as components of a composite adherence score (1-9) and as independent variables.
Unilateral hearing loss was the strongest predictor of decreased adherence on multivariate analysis (OR = 4.504, p = 0.034). Older age was independently associated with reduced adherence; patients aged ≥ 11 years had significantly higher odds of poor adherence versus those under 6 years (OR = 5.795, p = 0.001). While patients aged 7-10 had 4 times the odds of reduced adherence (OR = 4.391, p = 0.003). Public or no insurance was associated with decreased adherence versus private insurance (p = 0.009). Fitting age was not significant (p = 0.098). Independent analysis of daily datalogging hours confirmed a significant association with adherence tier (p < 0.001); patients logging fewer than 4 h per day had markedly higher odds of decreased adherence on multivariate analysis (OR = 33.39, p = 0.003).
Unilateral hearing loss, public or no insurance, and older age are risk factors for poor long-term BCHD adherence in pediatric patients. Reduced daily device wear, as measured by datalogging, is a strong independent predictor and should be routinely monitored.
PMID:
42714262
Bibliographic data and abstract were imported from PubMed on 09 Sep 2026.
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