Hearing Benefit and Rated Satisfaction in Children with Unilateral Conductive Hearing Loss Using a Transcutaneous Magnetic-Coupled Bone-Conduction Hearing Aid

Polonenko, Melissa J.; Carinci, Lora; Gordon, Karen A.; Papsin, Blake C.; Cushing, Sharon L.

doi:10.3766/jaaa.15092

Cited by 16 publications

(19 citation statements)

References 49 publications

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“…The degree of asymmetry measured may have implications for everyday function. Even an improvement of 1–2 dB in spatial unmasking can reduce self-rated difficulties in situations containing background noise and reverberation 71 , and small increases in SNR can improve speech intelligibility 72 . Poorer (reduced) SNR on one side signals a potential for reduced speech perception in the condition when the “preferred” or better ear is masked by noise.…”

Section: Discussionmentioning

confidence: 99%

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Limiting asymmetric hearing improves benefits of bilateral hearing in children using cochlear implants

Polonenko

Papsin

Gordon

2018

Sci Rep

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Neurodevelopmental changes occur with asymmetric hearing loss, limiting binaural/spatial hearing and putting children at risk for social and educational challenges. These deficits may be mitigated by providing bilateral hearing in children through auditory prostheses. Effects on speech perception and spatial hearing were measured in a large cohort of >450 children who were deaf and used bilateral cochlear implants or bimodal devices (one cochlear implant and a contralateral hearing aid). Results revealed an advantage of bilateral over unilateral device use but this advantage decreased as hearing in the two ears became increasingly asymmetric. Delayed implantation of an ear with severe to profound deafness allowed asymmetric hearing, creating aural preference for the better hearing ear. These findings indicate that bilateral input with the most appropriate device for each ear should be provided early and without delay during development.

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Section: Discussionmentioning

confidence: 99%

“…Speech detection thresholds (SDT) were measured as described previously 33,71 . Briefly, recorded speech was presented from a loudspeaker at 0° azimuth in the presence of speech-weighted noise presented at a level of 60 dB SPL at 0° and ±90° azimuth.…”

Section: Methodsmentioning

confidence: 99%

Limiting asymmetric hearing improves benefits of bilateral hearing in children using cochlear implants

Polonenko

Papsin

Gordon

2018

Sci Rep

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“…This gain of estimate(SE) ¼ 31.48(1.59) dB HL was consistent across frequencies, indicating the effectiveness of the OSSI even in the high frequencies. This is a clear benefit of the OSSI given the reduction of high frequency gain by previous transcutaneous BC devices (10). Less effective high frequency hearing can compromise speech perception (10,17).…”

Section: Hearing Benefitsmentioning

confidence: 99%

“…The first transcutaneous devices generated vibrations from the external component that transferred across the skin to the internal component (passive). Passive transcutaneous devices reduce the incidence of complications but do not eliminate them (9) and can provide less efficient transduction of high frequencies (10). More recent technology aims to improve transcutaneous devices by using a stationary external device to communicate with the internal osseointegrated vibrator (active transcutaneous system) (3).…”

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confidence: 99%

First Generation Osseointegrated Steady State Implant Benefits in Children With Hearing Loss

Gordon

Papsin

Feness

et al. 2021

Otology &Amp; Neurotology

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Objective:To assess outcomes of a new Osseointegrated Steady State Implant (OSSI) for bone conduction in adolescents.Method:In an initial trial, 14 adolescents (14.5 years of age, SD = 2.22) were provided with an OSSI; unilateral OSSI (n = 13), bilateral OSSI in sequential surgeries (n = 1). Outcomes measured were surgical duration, complications, hearing thresholds, speech perception and self-reported hearing benefits using the Speech and Spatial Quality of Hearing Questionnaire.Results:The surgical times were mean 93.6 minutes (SD = 33.3). Surgery was slightly longer in three adolescents who required skin flap reduction (n = 1) or significant bone polishing (n = 2) (121.33 minutes, SD = 8.14). Adverse events occurred in two adolescents post-implant poor external device retention in one child requiring revision flap reduction and inflammation at the incision site due to magnet overuse in another. The “Digital Link Calibration” measure was a good proxy predictor of the strength of magnet required for external device adherence (p = 0.002). The OSSI increased audibility in the implanted ear by mean 31.48 dB HL (SE = 1.58). Aided thresholds were best at 1 kHz (mean 25.33 dB HL, SD = 22.60) and only slightly poorer at 3000 and 4000 Hz (estimate decrease = 8.33 dB HL, SE = 3.54), reflecting good auditory sensitivity even at high frequencies. Speech perception when using the new device alone was good (89.67%, SD = 7.84%) and self-reported hearing by participants and parents improved in all domains assessed by the Speech and Spatial Quality of Hearing Questionnaire (estimate = 1.90 points, SE = 0.25, p < 0.0001).Conclusion:The OSSI provides hearing benefits with surgical safety in a carefully selected cohort of adolescents.

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“…To address these issues, transcutaneous magneticbased systems have been developed, such as the Bonebridge by MED-EL [Riss et al, 2014;Sprinzl and Wolf-Magele 2016], the BAHA Attract by Cochlear [Kurz et al, 2014;Nevoux et al, 2018], and Sophono by Sophono Inc. [Denoyelle et al, 2015;Bezdjian et al 2017]. Several publications about those devices have documented good per-formance and improved audiological outcomes, along with minimal pressure skin reactions to the external magnet [Siegert, 2011;Denoyelle et al, 2013;Hol et al, 2013;Centric and Chennupati, 2014;Marsella et al, 2014;O'Niel et al, 2014;Polonenko et al, 2016]. However, these devices still require a surgical intervention, which may present a number of challenges for some subjects, and they can also be associated with skin complications and discomfort [Shapiro et al, 2018].…”

Section: Introductionmentioning

confidence: 99%

Auditory Performance and Subjective Satisfaction with the ADHEAR System

Almuhawas¹,

Alzhrani²,

Saleh³

et al. 2020

Audiol Neurotol

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Background: The ADHEAR device, a new nonsurgical bone conduction hearing device, has been developed for patients with conductive hearing loss. Objectives: This study aims to assess the impact of the ADHEAR device on the audiological performance and satisfaction level in subjects with conductive hearing loss. Methods: Twelve patients with conductive hearing loss were included. All patients received the device for 3 months. The audiological outcomes were determined using basic audiological assessments, including pure tone audiometry and sound field measurements of pure tone and speech audiometry with the contralateral ear occluded with a specific earplug. Additionally, the patients were subjectively evaluated using (1) the Speech, Spatial, and Qualities Questionnaire (SSQ), and (2) the custom-made ADHEAR questionnaire. Results: Analysis of the measured audiological outcomes revealed an average improvement in pure tone thresholds (functional gain) of 23 (± 4.4) dB HL when the ADHEAR system was used compared to the unaided condition in the sound field. Moreover, speech reception thresholds improved by an average of 23 (± 15.3) dB SPL in the aided condition with plugged contralateral ear. Additionally, when using ADHEAR in the sound field, subjects’ speech recognition scores improved by 32% (± 17.7) in quiet and 21% (± 15.1) in the presence of interfering noise. The average SSQ questionnaire scores improved from 3.9 at the study initiation to 6.6 after 3 months of device usage. ADHEAR custom questionnaire assessments revealed high satisfaction and acceptance of the device with no pain or skin irritation. Conclusion: During the study period, this new adhesive system yielded improved audiological outcomes with high patient satisfaction and acceptance and no reported skin irritation or pain.

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Hearing Benefit and Rated Satisfaction in Children with Unilateral Conductive Hearing Loss Using a Transcutaneous Magnetic-Coupled Bone-Conduction Hearing Aid

Abstract: Our findings, therefore, indicate that providing a transcutaneous magnetic-coupled BCHA to children who have UCHL or mixed HL provides benefit on some objective measures of bilateral hearing, as well as some subjective benefit in noise and everyday situations.

Cited by 16 publications

References 49 publications

Limiting asymmetric hearing improves benefits of bilateral hearing in children using cochlear implants

Limiting asymmetric hearing improves benefits of bilateral hearing in children using cochlear implants

First Generation Osseointegrated Steady State Implant Benefits in Children With Hearing Loss

Auditory Performance and Subjective Satisfaction with the ADHEAR System

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