Performance of an active transcutaneous bone conduction implant, the Osia system, in high frequencies and hearing in noise in users converted from a Baha attract system: a prospective study.

Autor: Nevoux J; AP-HP, Bicêtre Hospital, Department of Head and Neck Surgery, School of Medicine, Paris-Saclay University, 94070, Le Kremlin-Bicêtre, France. jerome.nevoux@aphp.fr.; Paris Saclay University, Bâtiment Bréguet, 3 Rue Joliot Curie, 91190, Gif-Sur-Yvette, France. jerome.nevoux@aphp.fr.; Le kremlin bicetre, France. jerome.nevoux@aphp.fr., Boulet M; AP-HP, Bicêtre Hospital, Department of Head and Neck Surgery, School of Medicine, Paris-Saclay University, 94070, Le Kremlin-Bicêtre, France., Pronost N; AP-HP, Bicêtre Hospital, Department of Head and Neck Surgery, School of Medicine, Paris-Saclay University, 94070, Le Kremlin-Bicêtre, France., Papon JF; AP-HP, Bicêtre Hospital, Department of Head and Neck Surgery, School of Medicine, Paris-Saclay University, 94070, Le Kremlin-Bicêtre, France.; Paris Saclay University, Bâtiment Bréguet, 3 Rue Joliot Curie, 91190, Gif-Sur-Yvette, France., Alexandru M; AP-HP, Bicêtre Hospital, Department of Head and Neck Surgery, School of Medicine, Paris-Saclay University, 94070, Le Kremlin-Bicêtre, France.; Paris Saclay University, Bâtiment Bréguet, 3 Rue Joliot Curie, 91190, Gif-Sur-Yvette, France.
Jazyk: angličtina
Zdroj: European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery [Eur Arch Otorhinolaryngol] 2023 Oct; Vol. 280 (10), pp. 4691-4696. Date of Electronic Publication: 2023 Aug 14.
DOI: 10.1007/s00405-023-08149-9
Abstrakt: Purpose: Hearing rehabilitation through middle ear surgery can be challenging, particularly for patients with chronic otitis media, but new hearing devices offer opportunity to reach this goal. The aim was to compare hearing outcomes and quality of life in patients who were converted from a Baha Attract system to the Osia system.
Methods: Prospective observational study, in which each subject acted as their own control. Six patients who were converted from a Baha Attract to an Osia system performed audiometric and quality of life assessments with different sound processor at fitting, 3, 6 and 12 months. The speech performance in noise with the Osia system at 12 months, expressed as dB SNR, was compared to the baseline condition (Baha 5).
Results: The PTA4 hearing thresholds improved from 42.6 ± 11 with Baha 5 Power to 34.8 ± 13.3 with Baha 5 SuperPower and to 25.4 ± 3.5 with the Osia at 12 months, leading to a significant functional gain of 17.2 ± 10.9 dB vs Baha 5 (p < 0.02). Speech understanding in both quiet and noise was clinically improved reaching a mean SNR of less than 1 dB at 12 months with the Osia system. Quality of life outcomes improved by more than 20% at 12-month follow-up.
Conclusion: Aided hearing thresholds and speech understanding in noise improved when patients were converted from the Baha Attract system to the Osia system. The aided hearing threshold was maintained up to 8 kHz (26 dB) with the Osia system.
(© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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