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Acta Otolaryngol ; 140(3): 212-219, 2020 Mar.
Article in English | MEDLINE | ID: mdl-32068449

ABSTRACT

Background: Bone-conduction hearing implants are standard of care devices.Aims/Objectives: Evaluation of a new active magnetic bone-conduction hearing implant: Cochlear Osia™ system.Material and methods: This device uses a transcutaneous connection between an external sound-processor and an osseointegrated implant that generates vibrations using a piezoelectricity-based internal bone-conduction system. Nine patients with conductive-hearing loss were implanted. Surgical efficacy, hearing performance and quality-of-life were evaluated. Hearing performance in quiet and in noise was compared with unaided hearing and hearing with the Baha 5 Power® Sound Processor on a softband.Results: Surgery and healing were uneventful. Statistically significant improvements in audibility, speech-understanding, speech-recognition and quality-of-sound in noise and quiet were found for the Osia™ compared to preoperative unaided hearing and aided hearing with the Baha 5 Power® Sound Processor on a softband. The active vibration system provided improvement at low and high frequencies. At 6 months postoperatively, all patients continue to use the device.Conclusions and significance: The Osia™ is safe and effective, improving speech-recognition in quiet and in noise, at low and high frequencies, thus delivering better quality-of-hearing than passive devices.


Subject(s)
Bone-Anchored Prosthesis , Hearing Aids , Hearing Loss, Conductive/surgery , Hearing Loss, Mixed Conductive-Sensorineural/surgery , Adult , Bone Conduction , Child , Female , Hearing Loss, Conductive/rehabilitation , Hearing Tests , Humans , Male , Middle Aged , Prospective Studies , Prosthesis Design , Surveys and Questionnaires , Young Adult
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