Response to Letter to the Editor

We very much appreciate the thoughtful comments by Dr. Snik. While we are in complete agreement that the hearing amplification gained through the use of the attract is subject to significant soft tissue attenuation, we do feel that the children transitioned to the Attract device derive more benefit after conversion. The primary basis for this is the improved ability to wear the processor. While the percutaneous device inarguably provides improved hearing thresholds, the medical complications associated with it can prevent children from being able to wear it consistently or even at all, as three of our four patients had complete skin overgrowth of their implant preventing device use.

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