HEARING RESTORATION, QUALITY OF LIFE, AND SAFETY OUTCOMES IN BONE-CONDUCTION DEVICES FOR PATIENTS WITH CONDUCTIVE OR MIXED HEARING LOSS OR SINGLE-SIDE DEAFNESS

Introduction: Nowadays, there are many options to treat hearing-impaired patients: tympanoplastic surgery, hearing aids and a wide range of implantable devices. Objective: The aim of this study is to present the mid-term audiological and quality of life benefits after the implantation of the Osia®, a new active piezoelectric bone conduction hearing implant. Material and methods: The state of the tissues in implanted area, as well as audiological and quality of life results were analyzed six, nine and twelve months after implantation in a group of four adult patients with bilateral mixed hearing loss. Results: In all the cases, no postoperative complications were found. One year after surgery the mean audiological gain in FF PTA4 (pure tone average for 0.5, 1, 2, and 4 kHz) was 52.2±3.5 dB in comparison to the unaided situation, the mean speech understanding with Osia® in quiet was 90±8.2% for 50dB SPL, 98.8±2.5% for 65dB SPL and 100±0% for 80dB SPL, and mean speech understanding with Osia® in noise was 37.5%±23.6 for 50dB SPL, 93.8±4.8% for 65dB SPL and 98.8±2.5% for 80dB SPL. There was also an evident improvement in the quality of hearing as well as in the quality of life, measured by the APHAB (Abbreviated Profile of Hearing Aid Benefit) and the SSQ (Speech, Spatial and Qualities of Hearing Scale). Conclusions: The Osia® is an effective treatment option for patients with bilateral mixed hearing loss. The mid-term audiological and quality of life results are excellent, but further observations including bigger groups of patients and a longer follow-up are required.

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Stapes Surgery for Otosclerosis in Patients Presenting with Mixed Hearing Loss

Audiology and Neurotology ◽

10.1159/000489813 ◽

2018 ◽

Vol 23 (2) ◽

pp. 82-88 ◽

Cited By ~ 1

Author(s):

Caroline Salmon ◽

Sébastien Barriat ◽

Philippe P. Lefebvre

Keyword(s):

Quality Of Life ◽

Hearing Loss ◽

Word Recognition ◽

Bone Conduction ◽

Stapes Surgery ◽

Auditory Function ◽

Mixed Hearing Loss ◽

Before And After ◽

Air Conduction

Objectives: To evaluate the efficacy of stapes surgery in patients presenting with a preoperative mixed hearing loss (bone conduction thresholds ≥40 dB; 40 < air conduction thresholds (AC) < 85 dB). Patients and Methods: A total of 30 patients (32 ears) with mixed hearing loss who underwent primary stapedotomy were evaluated. Audiometric parameters were assessed before and after surgery. Contralateral thresholds were also reported. The need for a hearing aid (HA) after surgery and its impact on quality of life were also measured. Results: AC and word recognition at 40, 55 and 70 dB were significantly improved after stapes surgery. Only 16.6% of the patients needed an HA after surgery and reported being satisfied with the aid. Conclusion: Stapes surgery improved auditory function in patients with mixed hearing loss, allowing most patients to delay the need for an HA without worsening their quality of life.

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Preliminary Functional Results and Quality of Life After Implantation of a New Bone Conduction Hearing Device in Patients With Conductive and Mixed Hearing Loss

Otology & Neurotology ◽

10.1097/mao.0000000000000208 ◽

2014 ◽

Vol 35 (2) ◽

pp. 211-215 ◽

Cited By ~ 29

Author(s):

Friedrich Ihler ◽

Laura Volbers ◽

Jenny Blum ◽

Christoph Matthias ◽

Martin Canis

Keyword(s):

Quality Of Life ◽

Hearing Loss ◽

Bone Conduction ◽

Functional Results ◽

Mixed Hearing Loss ◽

Hearing Device ◽

Bone Conduction Hearing

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Stapes Surgery for 121 Patients With Mixed Hearing Loss

Ear Nose & Throat Journal ◽

10.1177/0145561319885725 ◽

2019 ◽

pp. 014556131988572

Author(s):

Jacob J. Rapier ◽

Georgia E. Theodoraki ◽

Joseph G. Manjaly ◽

Robert Nash ◽

Jeremy A. Lavy

Keyword(s):

Quality Of Life ◽

Hearing Loss ◽

Bone Conduction ◽

Stapes Surgery ◽

Average Score ◽

Mixed Hearing Loss ◽

Hearing Aid Use ◽

Glasgow Benefit Inventory

This study aims to determine the benefit of stapes surgery for otosclerosis in 121 patients with a mixed hearing loss and a preoperative bone conduction (BC) threshold >30 dB. Average postoperative air conduction (AC) improved from 61.5 dB to 34.3 dB. Average air–bone gap closed from 27.1 dB to 6.1 dB. Bone conduction improved from 34.3 dB to 28.2 dB, with 38% of patients achieving a postoperative AC of <30 dB. Glasgow Benefit Inventory scores showed significantly increased quality of life postoperatively in the 88 patients who responded to follow-up, with an average score of 56. There was a mean reduction in daily hearing aid use postsurgery of 5.48 hours, with 56% of patients who responded to follow-up questionnaire no longer needing to use one. When assessing suitability for stapes surgery, surgeons should consider that preoperative BC thresholds may be a poor indicator of the true cochlear reserve and therefore the potential for improvement in AC thresholds and quality of life.

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The Sophono Bone-Conduction System: Surgical, Audiologic, and Quality-of-Life Outcomes

Ear Nose & Throat Journal ◽

10.1177/014556131709600706 ◽

2017 ◽

Vol 96 (7) ◽

pp. E28-E33 ◽

Cited By ~ 1

Author(s):

Timothy Mclean ◽

Irumee Pai ◽

Andrew Philipatos ◽

Michael Gordon

Keyword(s):

Quality Of Life ◽

Hearing Loss ◽

Hearing Aids ◽

Conductive Hearing Loss ◽

Hearing Aid ◽

Bone Conduction ◽

Speech Discrimination ◽

Single Sided Deafness ◽

Conductive Hearing

We prospectively evaluated the surgical, audiologic, and quality-of-life outcomes in 5 patients—2 men and 3 women, aged 22 to 64 years (mean: 41.8)—who were implanted with the Sophono Alpha 2 MPO Processor. The indications for implantation of this bone-conduction device included recurrent ear canal infections with hearing aids (n = 3), single-sided deafness (n = 1), and patient preference in view of difficulty using a conventional hearing aid (n = 1). In addition to the patient with single-sided deafness, 3 patients had a bilateral mixed hearing loss and 1 had a bilateral conductive hearing loss. Outcomes measures included surgical complications, functional gain (FG), speech discrimination in quiet and noise, and patient satisfaction as determined by the Glasgow Benefit Inventory (GBI) and the Entific Medical Systems bone-anchored hearing aid questionnaire (BAQ). The only postsurgical complication noted was a minor skin reaction and pain in 1 patient that resolved with conservative management. In the 3 patients with the mixed hearing loss, the mean FG was 13.3, 20.0, 11.7, and 11.7 dB at 0.5, 1, 2, and 4 kHz, respectively; in the patient with the bilateral conductive hearing loss, the FG was 10, 25, 10, and 15 dB at the same frequencies. Speech discrimination scores with the Sophono device were comparable to those seen with conventional hearing aids. After implantation, all 5 patients experienced a positive quality-of-life outcome according to the GBI, although 1 of them had only a marginal improvement. On follow-up, all patients reported that they remained satisfied with their implant and that they used their device all day long. We conclude that the Sophono bone-conduction system is a safe and effective option that should be considered for patients with a mixed or conductive hearing loss who are unable to use a conventional hearing aid, as well as for those with single-sided deafness.

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Bone-Anchored and Closed Skin Bonebridge Implant in Adults: Hearing Performances and Quality of Life

Audiology and Neurotology ◽

10.1159/000512496 ◽

2021 ◽

pp. 1-7

Author(s):

Martin Garcier ◽

Angela Lavedrine ◽

Claude Gagneux ◽

Thierry Eluecque ◽

Alexis Bozorg Grayeli

Keyword(s):

Hearing Loss ◽

Bone Conduction ◽

Chronic Otitis Media ◽

Major Complication ◽

Cross Sectional Study ◽

Wilcoxon Test ◽

Cross Sectional ◽

Mixed Hearing Loss ◽

Patient Reported

Introduction: Bonebridge® is a novel active bone-anchored hearing implant. The purpose of this study was to evaluate the ease of implantation, the hearing performances, and the patient-reported benefit. Materials and Methods: This is a prospective cross-sectional study of 24 consecutive adult patients implanted for a mixed hearing loss (13 chronic otitis media (COM) and 11 other aetiologies). Twenty-one implants were placed in the retrosigmoid position and 3 in the mastoid. Audiometry, Abbreviated Profile of Hearing Aid Benefit (APHAB) questionnaire, as well as 5 implant-specific questions (analogue visual scale [AVS] 0–10 score), was administered. Results: Surgery lasted 73 ± 29.7 min on average. No major complication occurred. All patients were users at the last follow-up visit (median: 9-month range: 3–25). The average prosthetic gain was similar in COM and other aetiologies (43 ± 4.8 dB and 50 ± 7.2, respectively, not significant, Wilcoxon test). Bone-conduction thresholds were not deteriorated by surgery (Kruskal-Wallis test, not significant). APHAB scores improved in all categories except aversiveness (global score 45 ± 7.0% in COM and 32 ± 10.2% in others, not significant, and Wilcoxon test). Local pain (AVS: 3.23 ± 3.2, n = 16) and manipulation difficulties (3.1 ± 3.69) were low. The device was considered aesthetic (8.3 ± 2.49). Perfectible autonomy (5.0 ± 2.8) and difficulties wearing the implant during sport or at work (5.1 ± 3.47) were the weakest points. Conclusions: BoneBridge® implant provides reproducible results for the rehabilitation of mixed hearing losses and unilateral hearing loss.

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The Bonebridge in Adults with Mixed and Conductive Hearing Loss: Audiological and Quality of Life Outcomes

Audiology and Neurotology ◽

10.1159/000499363 ◽

2019 ◽

Vol 24 (2) ◽

pp. 90-99 ◽

Cited By ~ 4

Author(s):

Piotr H. Skarżyński ◽

Anna Ratuszniak ◽

Bartłomiej Król ◽

Magdalena Kozieł ◽

Kamila Osińska ◽

...

Keyword(s):

Quality Of Life ◽

Hearing Loss ◽

Word Recognition ◽

Conductive Hearing Loss ◽

Bone Conduction ◽

Speech Understanding ◽

Hearing Rehabilitation ◽

Patient Reported ◽

Conductive Hearing

Background: Considering that hearing loss has a significant impact on social functioning, everyday activity and a person’s emotional state, one of the most important goals of hearing rehabilitation with bone conduction devices is improvement in a patient’s quality of life. Objectives: To measure self-assessed quality of life in patients implanted with the Bonebridge, a bone conduction device. Method: Prospective, observational, longitudinal study with one treatment group. Twenty-one patients with mixed or conductive hearing loss were included, and each individual served as its own control. The Abbreviated Profile of Hearing Aid Benefit (APHAB) was used to measure patient-reported quality of life before intervention and at 3 and 6 months after activation of the device. At the same time frames, pure-tone audiometry and speech understanding in quiet and in noise were tested. Results: Hearing-specific quality of life increased significantly after intervention and remained stable up to 6 months. Both word recognition in quiet and speech reception threshold in noise were significantly better after 6 months compared to before surgery. Outcomes of aided speech understanding were independent of initial bone conduction thresholds and equally high (word recognition score >75%) across the device’s indication range. Conclusions: The Bonebridge provides not only significant audiological benefit in both speech understanding in quiet and in noise, but also increases self-perceived quality of life in patients suffering from mixed and conductive hearing loss. Together with a very low rate and minor nature of adverse events, it is the state-of-the-art solution for hearing rehabilitation in patients with mixed or conductive hearing loss up to a bone conduction threshold of 45 dB HL.

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