The decision on whether a bone anchored device is part of the appropriate management for a child's hearing impairment is a clinical decision involving audiological, ENT, nursing and other input from a multidisciplinary team in the context of parental informed choice. Cases suitable for bone anchored devices would be children with congenital or acquired hearing loss where surgery or conventional hearing aids are contra-indicated, inappropriate or refused.
Three sites have provided Bone Anchored Hearing Devices (BAHAs) over the past three years. The main site is Our Lady's Hospital for Sick Children. The other two sites are the Children's University Hospital, Temple Street and the Midland Regional Hospital, Tullamore. Figures provided by the HSE are as follows:
Cork University Hospital
2011: BAHA procedures: 1
(None done on children with Downs Syndrome)
Our Lady's Hospital for Sick Children
2010: BAHA procedures: 4
(No information on children with Downs Syndrome)
Midland Regional Hospital, Tullamore
2009: BAHA procedures: 1
2010: BAHA procedures: 2
2011: BAHA procedures: 0
(No information on children with Downs Syndrome)
I have asked the HSE to confirm whether it has any further information on children with Downs Syndrome for the years in question.