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Bonebridge® bone conduction implant. Hearing outcomes and quality of life in patients with conductive/mixed hearing loss

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

Abstract

Purpose

The aim of this study was to analyze the hearing outcomes and quality of life in a series of 52 patients affected by conductive or mixed hearing loss and treated with Bonebridge®.

Methods

52 of 71 patients implanted with Bonebridge® between October 2012 and January 2022, were included in the study. We compared the air conduction thresholds at the frequencies 500, 1000, 2000, 3000, 4000 Hz, the SRT50% and the World Recognition Score at an intensity of 50 dB with and without the implant. The Abbreviated Profile of Hearing Aid Benefit (APHAB) was employed to assess the quality of life of patients.

Results

The liminal tone audiometry (free field) pure tone average for air conduction after 6 months with the implant was 35.12 dB, obtaining a mean gain of 31.83 dB. With Bonebridge®, the mean SRT was 34.17 dB, whereas before the surgery no patient achieved 50% of correct answers at a sound intensity of 50 dB. The world recognition score at 50 dB changed from 11% without the implant to 85% with it. We observed one case of implant failure and one case of implant exposure. The APHAB questionnaire showed an improvement after implantation in practically all the subscales.

Conclusions

The hearing outcomes and the subjective benefits reported by patients obtained in our study are similar to those published in the literature. Bonebridge® represents an excellent method for the rehabilitation of patients with conductive and mixed hearing loss, showing a low rate of complications.

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References

  1. Stenfelt S (2011) Acoustic and physiologic aspects of bone conduction hearing. Adv Otorhinolaryngol 71:10–21

    PubMed  Google Scholar 

  2. Tjellström A, Rosenhall U, Lindstrom J, Hallen O, Albrektsson T, Branemark I (1983) Five-year experience with skin-penetrating bone-anchored implants in the temporal bone. Acta Otolaryngol 95:568–575

    Article  PubMed  Google Scholar 

  3. Carnevale C, Til-Pérez G, Arancibia-Tagle DJ, Tomás-Barberán MD, Sarría-Echegaray PL (2019) Hearing outcomes of the active bone conduction system Bonebridge ® in conductive or mixed hearing loss. Acta Otorrinolaringol Esp 70(2):80–88

    Article  Google Scholar 

  4. Magele A, Schoerg P, Stanek B, Gradl B, Sprinzl GM (2019) Active transcutaneous bone conduction hearing implants: systematic review and meta-analysis. PLoS ONE. https://doi.org/10.1371/journal.pone.0221484

    Article  PubMed  PubMed Central  Google Scholar 

  5. Sprinzl GM, Wolf-Magele A (2016) The bonebridge bone conduction hearing implant: Indication criteria, surgery and a systematic review of the literature. Clin Otolaryngol 41:131–143

    Article  CAS  PubMed  Google Scholar 

  6. Sprinzl G, Lenarz T, Ernst A, Hagen R (2013) First European Multicenter results with a new transcutaneous bone conduction hearing implant system: short term safety and efficacy. Otol Neurotol 34:1076–1083

    Article  PubMed  Google Scholar 

  7. Manrique M, Sanhueza I, Manrique R, de Abajo J (2014) A new bone conduction implant: surgical technique and results. Otol Neurotol 35:216–220

    Article  PubMed  Google Scholar 

  8. Cywka KB, Skarzynski H, Król B, Skarzynski PH (2021) The Bonebridge BCI 602 active transcutaneous bone conduction implant in children: objective and subjective benefits. J Clin Med 10(24):5916. https://doi.org/10.3390/jcm10245916

    Article  PubMed  PubMed Central  Google Scholar 

  9. Plontke SK, Götze G, Wenzel C, Rahne T, Mlynski R (2020) Implantation of a new active bone conduction hearing device 395 with optimized geometry. HNO 68:106–115. https://doi.org/10.1007/s00106-020-00877-2.396

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Utrilla C, Gavilán J, García-Raya P, Calvino M, Lassaletta L (2020) MRI after Bonebridge implantation: a comparison of two 397 implant generations. Eur Arch Otorhinolaryngol 278:3203–3209. https://doi.org/10.1007/s00405-020-06380-2

    Article  PubMed  Google Scholar 

  11. Carnevale C, Til-Pérez G, Arancibia-Tagle D, Tomás-Barberán M, Sarría-Echegaray P (2021) Cervicofacial surgery and implantable hearing device extrusion: management of challenging cases. J Laryngol Otol 135(3):212–216

    Article  CAS  PubMed  Google Scholar 

  12. Rivas JA, Rincón LA, Garcia L, Rivas A, Tamayo C, Forero VH (2013) Implantes auditivos de conducción ósea percutáneo, transcutáneo: comparación. Acta Otorrinolaringol Cir Cabeza Cuello 41:17–24

    Google Scholar 

  13. Skarżyński PH, Ratuszniak A, Król B, Kozieł M, Osińska K, Cywka KB, Sztabnicka A, Skarżyński H (2019) The Bonebridge in adults with mixed and conductive hearing loss: audiological and quality of life outcomes. Audiol Neurotol 24:90–99

    Article  Google Scholar 

  14. Seiwerth I, Fröhlich L, Schilde S, Götze G, Plontke SK, Rahne T (2022) Clinical and functional results after implantation of the bonebridge, a semi-implantable, active transcutaneous bone conduction device, in children and adults. Eur Arch Otorhinolaryngol 279(1):101–113

    Article  PubMed  Google Scholar 

  15. Baumgartner WD, Hamzavi JS, Boheim K, Wolf-Magele A, Schlogel M, Riechelmann H, Zorowka P, Koci V, Keck T, Potzinger P, Sprinzl G (2016) A new transcutaneous bone conduction hearing implant: short-term safety and efficacy in children. Otol Neurotol 37(6):713–720. https://doi.org/10.1097/MAO.0000000000001038

    Article  PubMed  Google Scholar 

  16. 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(4):1835–1851

    Article  PubMed  Google Scholar 

  17. Garciera M, Lavedrinea A, Gagneuxa C, Eluecquec T, Grayeli AB (2021) Bone-anchored and closed skin Bonebridge implant in adults: hearing performances and quality of life. Audiol Neurootol 26(5):310–316. https://doi.org/10.1159/000512496

    Article  Google Scholar 

  18. Barbara M, Perotti M, Gioia B, Volpini L, Monini S (2013) Transcutaneous bone-conduction hearing device: audiological and surgical aspects in a first series of patients with mixed hearing loss. Acta Otolaryngol 133:1058–1064

    Article  PubMed  Google Scholar 

  19. Zernotti ME, di Gregorio MF, Galeazzi P, Tabernero P (2016) Comparative outcomes of active and passive hearing devices by transcutaneous bone conduction. Acta Otolaryngol 136:556–558

    Article  PubMed  Google Scholar 

  20. Lassaletta L, Sanchez-Cuadrado I, Muñoz E, Gavilan J (2014) Retrosigmoid implantation of an active bone conduction stimulator in a patient with chronic otitis media. Auris Nasus Larynx 41:84–87

    Article  PubMed  Google Scholar 

  21. Zernotti ME, Sarasty AB (2015) Active bone conduction prosthesis: Bonebridge (TM). Int Arch Otorhinolaryngol 19:343–348

    Article  PubMed  PubMed Central  Google Scholar 

  22. Carnevale C, Tomás-Barberán M, Til-Pérez G, Sarría-Echegaray P (2019) The Bonebridge active bone conduction system: a fast and safe technique for a middle fossa approach. J Laryngol Otol 133(4):344–347

    Article  CAS  PubMed  Google Scholar 

  23. Plontke SK, Götze G, Wenzel C, Rahne T, Mlynski R (2020) Implantation of a new active bone conduction hearing device with optimized geometry. HNO 68:106–115

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. You P, Siegel LH, Kassam Z, Hebb M, Parnes L, Ladak HM, Agrawal SK (2019) The middle fossa approach with self-drilling screws: a novel technique for BONEBRIDGE implantation. J Otolaryngol Head Neck Surg 48:1–10

    Google Scholar 

  25. Lassaletta L, Calvino M, Zernotti M, Gavilan J (2016) Postoperative pain in patients undergoing a transcutaneous active bone conduction implant (Bonebridge). Eur Arch Otorhinolaryngol 273(12):4103–4110

    Article  PubMed  Google Scholar 

  26. Law EK, Bhatia KS, Tsang WS, Tong MC, Shi L (2016) CT pre-operative planning of a new semi-implantable bone conduction hearing device. Eur Radiol 26(6):1686–1695. https://doi.org/10.1007/s00330-015-3983-x

    Article  PubMed  Google Scholar 

  27. Bianchin G, Bonali M, Russo M, Tribi L (2015) Active bone conduction system: outcomes with the Bonebridge transcutaneous device. ORL J Otorhinolaryngol Relat Spec 77(1):17–26. https://doi.org/10.1159/000371425

    Article  CAS  PubMed  Google Scholar 

  28. Weiss R, Leinung M, Baumann U, Weissgerber T, Rader T, Stover T (2017) Improvement of speech perception in quiet and in noise without decreasing localization abilities with the bone conduction device Bonebridge. Eur Arch Otorhinolaryngol 274(5):2107–2115. https://doi.org/10.1007/s00405-016-4434-2

    Article  PubMed  Google Scholar 

  29. Wimmer W, Gerber N, Guignard J, Dubach P, Kompis M, Weber S, Caversaccio M (2015) Topographic bone thickness maps for Bonebridge implantations. Eur Arch Otorhinolaryngol 272(7):1651–1658. https://doi.org/10.1007/s00405-014-2976-8

    Article  PubMed  Google Scholar 

  30. David T, Ramsden JD, Gordon KA, James AL, Papsin BC (2009) Soft tissue com- plications after small incision pediatric cochlear implantation. Laryngoscope 119:980–983

    Article  Google Scholar 

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Funding

The authors declare that no funds, grants, or other support were received during the preparation of this manuscript.

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Authors and Affiliations

  1. Department of Otorhinolaryngology Head and Neck Surgery, Son Espases University Hospital, Carretera Valldemossa 79, 07210, Palma, Spain

    Claudio Carnevale, C. Morales-Olavarría, G. Til-Pérez & P. Sarría-Echegaray

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  1. Claudio Carnevale
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  2. C. Morales-Olavarría
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  3. G. Til-Pérez
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  4. P. Sarría-Echegaray
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All authors have provided substantial contributions to the conception or design of the work or the interpretation of data for the work. All of them worked on the draft or revised it critically for important intellectual content. The final version was approved for publishing by all authors. The authors agree on accountability for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

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Correspondence to Claudio Carnevale.

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Carnevale, C., Morales-Olavarría, C., Til-Pérez, G. et al. Bonebridge® bone conduction implant. Hearing outcomes and quality of life in patients with conductive/mixed hearing loss. Eur Arch Otorhinolaryngol 280, 1611–1619 (2023). https://doi.org/10.1007/s00405-022-07631-0

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