Clinical Outcomes of an Active, Transcutaneous, Bone Conduction Hearing Device: A Retrospective Study.

Document Type

Article

Abstract

OBJECTIVE: The purpose of this study was to review patient demographics, indications, intraoperative findings, complications/adverse events, and audiological outcomes related to the implantation of the Osia 2 device.

STUDY DESIGN: Retrospective case series.

SETTING: Single tertiary institutional experience.

METHODS: Patients who had undergone Osia 2 implantation by the senior author were identified from 2019 to present. Information was extracted from patient charts concerning patient demographics, indications for implantation, surgical findings, audiological outcomes, and adverse events.

RESULTS: Sixty patients and 67 implants were included. The median age was 51 years (R: 11-92). Fifty-five percent of patients had mixed hearing loss (HL), 30% had single-sided deafness, and 15% had conductive HL. The mean operative time was 53.9 minutes. Only 4.5% of patients required bone polishing, and 3.0% required tissue thinning. The mean pure-tone averages 4 gain from unaided conditions was 41.2 dB. Mean gain at 6 and 8 kHz from unaided conditions was 35.42 and 40.67 dB, respectively. Mean improvement in speech recognition threshold and word recognition score was significant in noise and quiet conditions. The all-cause adverse event/complication rate in our series was 10.4%. The most common complications were infections (4.5%) and poorly controlled postoperative pain (3.0%). Hematomas occurred in 1.5% of patients. Reoperation was required in 4 patients; explant in 1.

CONCLUSION: Use of the Osia 2 device in our series has resulted in good hearing outcomes, particularly in terms of high frequency gain. Complication rates were low. To our knowledge, this is the largest study to date reporting on Osia 2 outcomes.

Medical Subject Headings

Humans; Retrospective Studies; Middle Aged; Male; Female; Bone Conduction; Adult; Aged; Hearing Aids; Treatment Outcome; Aged, 80 and over; Adolescent; Child; Young Adult; Hearing Loss, Conductive; Audiometry, Pure-Tone

Publication Date

9-1-2024

Publication Title

Otolaryngology and head and neck surgery

ISSN

1097-6817

Volume

171

Issue

3

First Page

833

Last Page

840

PubMed ID

38667828

Digital Object Identifier (DOI)

10.1002/ohn.791

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