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A new bone conduction hearing aid to predict hearing outcome with an active implanted device

  • Otology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Purpose

We compared our historical medium-term data obtained with an active semi-implanted bone conduction device and the hearing results of a new passive bone conduction hearing device to determine its predictive value for the hearing results with the semi-implanted device.

Methods

The study sample was 15 patients with an active bone conduction implant (mean follow-up 26 months). Pure tone audiometry was performed with headphones, sound field speech audiometry was conducted unaided, and free-field speech audiometry was carried out with both the active bone conduction system and the passive device switched off.

Results

As compared with the unaided condition, speech reception was significantly improved with both devices. Comparison of speech reception threshold at 100% of word recognition showed no difference between the active and the passive device. At lower intensity the difference in speech perception was significant in the patients with monaural fitting (group A) and was non-statistically significant in those with binaural fitting (group B); the speech reception threshold at 50% of word recognition was 26.00 dB (± 10.22) with the active implant and 30.50 dB (± 7.98) with the passive device in group A (p = 0.047) and 24.00 dB (± 5.48) and 29.00 dB (± 2.24) in group B (p = 0.052), respectively.

Conclusions

The hearing outcome after active bone conduction implant was comparable to published data. Compared with the unaided condition, speech recognition was significantly improved with the passive device. The device may also provide value to predict the hearing outcome with the implanted device, especially at higher intensities.

Level of evidence

IV.

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References

  1. Sprinzl G, Lenarz T, Ernst A, Hagen R, Wolf – Magele A, Mojallal H, Todt I, Mlynski R, Wolframm MD (2013) First European Multicenter Results with a new transcutaneous bone conduction hearing implant system: short term safety and efficacy. Otol Neurotol 34:1076–1083. https://doi.org/10.1097/MAO.0b013e31828bb541

    Article  PubMed  Google Scholar 

  2. Dun CA, Faber HT, Wolf MJ, Mylanus EA, Cremers CW, Hol MK (2012) Assessment of more than 1000 implanted percutaneous bone conduction devices. Skin reactions and implant survival. Otol Neurotol 33(2):192–198. https://doi.org/10.1097/MAO.0b013e318241c0bf

    Article  PubMed  Google Scholar 

  3. Hobson JC, Roper AJ, Andrew R, Rothera MP, Hill P, Green KM (2010) Complications of bone-anchored hearing aid implantation. J Laryngol Otol 124(2):132–136. https://doi.org/10.1017/S0022215109991708

    Article  CAS  PubMed  Google Scholar 

  4. Schmerber S, Deguine O, Marx M, Van de Heyning P, Sterkers O, Mosnier I, Garin P, Godey B, Vincent C, Venail F, Mondain M, Deveze A, Lavieille JP, Karkas A (2017) Safety and effectiveness of the Bonebridge transcutaneous active direct-drive bone-conduction hearing implant at 1-year device use. Eur Arch Otorhinolaryngol 274:1835–1851. https://doi.org/10.1007/s00405-016-4228-6

    Article  PubMed  Google Scholar 

  5. Gavilian J, Adunka O, Agrawal S, Atlas M, Baumgartner WD, Brill S, De Heyning PV (2015) Quality standards for bone conduction implants. Acta Otolaryngol 135(12):1277–1285. https://doi.org/10.3109/00016489.2015.1067904

    Article  Google Scholar 

  6. Ilher F, Blum J, Berger MU, Weis BG, Welz C, Cains M. The prediction of speech recognition in noise with a semi-implantable bone conduction hearing system by external bone conduction stimulation with headband: a prospective study. Trends Hear 20:1–12

    Google Scholar 

  7. Westerkull P (2018) An adhesive bone conduction system, Adhear, a new treatment option for conductive hearing losses. J Hear Sci 8(2):35–43

    Google Scholar 

  8. Dahm V, Baumgartner WD, Liepins R, Arnoldner C, Riss D (2018) First results with a new, pressure-free, adhesive bone conduction hearing aid. Otol Neurotol 39(6):748–754. https://doi.org/10.1097/MAO.0000000000001829

    Article  PubMed  Google Scholar 

  9. Gerdes T, Lenarz T (2016) Comparison of audiological results between a transcutaneous and a percutaneous bone conduction instrument in conductive hearing loss. Otol Neurotol. https://doi.org/10.1097/MAO.0000000000001010

    Article  PubMed  Google Scholar 

  10. Stern RM Jr, Colburn HS (1978) Theory of binaural interaction based in auditory-nerve data. IV. A model for subjective lateral position. J Acoust Soc Am 64:127–140

    Article  PubMed  Google Scholar 

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The authors certify that they have no affiliations with or involvement in any organization or entity with any financial or non-financial interest in the subject matter or materials discussed in this manuscript.

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Correspondence to Andrea Canale.

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Canale, A., Boggio, V., Albera, A. et al. A new bone conduction hearing aid to predict hearing outcome with an active implanted device. Eur Arch Otorhinolaryngol 276, 2165–2170 (2019). https://doi.org/10.1007/s00405-019-05450-4

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  • DOI: https://doi.org/10.1007/s00405-019-05450-4

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