Brazilian Society of Otology Task Force - bone-anchored hearing system - recommendations based on strength of evidence

OBJECTIVES: To provide evidence-based recommendations for the indication of bone anchored hearing system in adults and children.

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✦ The floor

Discussion

Signed responses from readers of the wire.

✦ Clinical Takeaway ✦

Clinicians selecting candidates for bone-anchored hearing systems should consult these Brazilian Society of Otology evidence-graded recommendations as a structured decision-support reference, particularly when managing conductive or mixed hearing loss cases or single-sided deafness.

✦ Why It Matters ✦

Evidence-graded, society-endorsed guidelines for bone-anchored hearing systems are relatively rare and could help standardise candidacy decisions across diverse clinical settings in Brazil and beyond.

✦ Key Points ✦

01Brazilian Society of Otology Task Force produced evidence-graded recommendations for bone-anchored hearing systems (BAHS).
02Recommendations cover both adult and paediatric populations.
03Guidance is stratified by strength of evidence, providing a tiered decision framework.
04Targets conditions such as conductive/mixed hearing loss and single-sided deafness.
05Aims to harmonise clinical practice across Brazilian otology centres.

✦ Claims & Evidence ✦

ClaimEvidenceSupport

Bone-anchored hearing system recommendations can be graded by strength of evidence for adults and children.

guidelinesupported

✦ Research metadata ✦

PMID: 42485883
DOI: 10.1016/j.bjorl.2026.101854.
Journal: Brazilian Journal of Otorhinolaryngology
Publication type: guideline / systematic evidence review
Evidence level: 1a
Population: Adults and children who are candidates for bone-anchored hearing systems
Intervention: Bone-anchored hearing system (BAHS) implantation

Primary outcomes

Evidence-graded candidacy recommendations for BAHS in adults; Evidence-graded candidacy recommendations for BAHS in children

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