{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T04:15:32Z","timestamp":1784693732483,"version":"3.55.0"},"reference-count":27,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,6,5]],"date-time":"2017-06-05T00:00:00Z","timestamp":1496620800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>To evaluate the speech perception of the Ototronix MAXUM middle ear implant relative to the cochlear potential for speech perception of patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Clinical study chart review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed an evaluation of data from a prospective clinical study of 10 MAXUM patients. Primary outcome measures included comparison of word recognition (WR) scores with MAXUM (WR<jats:sub>MAXUM<\/jats:sub>) versus word recognition under inserts (WR<jats:sub>inserts<\/jats:sub>), and the functional gain improvement for pure\u2010tone average (PTA) (0.5, 1, and 2 kHz) and high\u2010frequency pure\u2010tone average (2, 3, and 4 kHz).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ten ears in 10 adult patients (six female; average age 68.7 years) were included. The average speech perception gap (difference between WR<jats:sub>inserts<\/jats:sub> and WR<jats:sub>MAXUM<\/jats:sub>) with MAXUM was \u22129.2% (range, \u221226% to 4%). A negative number indicates that WR<jats:sub>MAXUM<\/jats:sub> was higher than the WR<jats:sub>inserts<\/jats:sub>. The average PTA with MAXUM was 23.1 dB (range, 18.7\u201330 dB), a 38.0\u2010dB gain over the preoperative unaided condition (range, 20\u201353.3 dB). The average high\u2010frequency pure\u2010tone average with MAXUM was 34.4 dB (range, 26\u201343.3 dB), a 42.8\u2010dB gain over the preoperative unaided condition (range, 32.3\u201358.7 dB).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>These data demonstrate that a significant, very strong correlation was observed between WR<jats:sub>inserts<\/jats:sub> and WR<jats:sub>MAXUM<\/jats:sub> scores (<jats:italic>r<\/jats:italic> = 0.86, <jats:italic>P<\/jats:italic> = .001), and a patient's WR<jats:sub>inserts<\/jats:sub> score may be used to reasonably predict the word recognition outcomes with MAXUM.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4. <jats:italic>Laryngoscope<\/jats:italic>, 128:456\u2013460, 2018<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.26605","type":"journal-article","created":{"date-parts":[[2017,6,5]],"date-time":"2017-06-05T09:53:02Z","timestamp":1496656382000},"page":"456-460","source":"Crossref","is-referenced-by-count":8,"title":["Evaluating speech perception of the MAXUM middle ear implant versus speech perception under inserts"],"prefix":"10.1002","volume":"128","author":[{"given":"R. Kent","family":"Dyer","sequence":"first","affiliation":[{"name":"Department of Surgery and on the Board of Directors at the Hough Ear Institute Oklahoma City Oklahoma U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2635-075X","authenticated-orcid":false,"given":"Michael","family":"Spearman","sequence":"additional","affiliation":[{"name":"Ototronix LLC St. Paul Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Spearman","sequence":"additional","affiliation":[{"name":"Ototronix LLC St. Paul Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"McCraney","sequence":"additional","affiliation":[{"name":"Ototronix LLC St. Paul Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,6,5]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1016\/j.otohns.2008.12.021","article-title":"Clinical Implications of a damaged cochlea: pure tone\u2010thresholds vs information carrying capacity","volume":"140","author":"Halpin C","year":"2008","journal-title":"Otolaryngol Head Neck Surg"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00106-013-2813-1"},{"key":"e_1_2_6_4_1","doi-asserted-by":"crossref","first-page":"1001","DOI":"10.1097\/MAO.0000000000000730","article-title":"CI candidacy audiometry\u2010based screening procedure","volume":"36","author":"Hoppe U","year":"2015","journal-title":"Otol Neurotol"},{"key":"e_1_2_6_5_1","unstructured":"Minimum speech test battery for adult cochlear implant users. 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