{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T08:46:10Z","timestamp":1792053970451,"version":"4.4.0"},"reference-count":41,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T00:00:00Z","timestamp":1782086400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T00:00:00Z","timestamp":1782086400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Sentio (Oticon Medical) is an active bone\u2010conduction implant approved in 2024. This study evaluates initial clinical outcomes, safety, and audiological efficacy of the Sentio in patients with conductive or mixed hearing loss.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 28 patients (10 conductive, 18 mixed hearing loss) were implanted with Sentio. Preoperative assessments included pure\u2010tone audiometry and speech recognition testing in unaided and aided conditions. Postoperative evaluations of hearing thresholds and speech recognition were performed in free field. Subjective benefit was assessed using the APHAB questionnaire before and after implantation. The first follow\u2010up occurred 1\u2009month after activation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      All surgeries were completed without complications. One patient required revision surgery, which was successful. No other adverse events occurred. Mean hearing threshold improved from 56.3\u2009dB HL (unaided) and 31.7\u2009dB HL with Ponto on a softband to 25.3\u2009dB HL post\u2010activation and remained stable at 1\u2010month follow\u2010up (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Speech discrimination was 11.9% preoperatively (unaided) and 85.5% with Ponto. It reached 87.3% at activation and 93.3% at the follow\u2010up (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Speech perception in noise was +1.97\u2009dB SNR before implantation (unaided) and 2.22\u2009dB SNR (aided), \u22122.04\u2009dB SNR at implant activation and \u22122.67\u2009dB SNR at the follow\u2010up (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001 for implant conditions vs. unaided). APHAB global score decreased from 53.2 points preoperatively to 32.6 points postoperatively (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Sentio implantation appears effective and safe for the rehabilitation of conductive or mixed hearing loss. The first clinical results demonstrate audiological improvement and subjective benefit, supporting the potential of the system as a reliable bone\u2010conduction hearing solution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>4.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.70704","type":"journal-article","created":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T03:42:32Z","timestamp":1782186152000},"page":"5035-5042","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Sentio Bone\u2010Conduction Implant: Early Outcomes in Patients With Conductive or Mixed Hearing Loss"],"prefix":"10.1002","volume":"136","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1224-1074","authenticated-orcid":false,"given":"Katarzyna Beata","family":"Cywka","sequence":"first","affiliation":[{"name":"Otorhinolaryngosurgery Clinic, World Hearing Center Institute of Physiology and Pathology of Hearing  Warsaw Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4978-1915","authenticated-orcid":false,"given":"Piotr Henryk","family":"Skarzynski","sequence":"additional","affiliation":[{"name":"Department of Teleaudiology and Hearing Screening, World Hearing Center Institute of Physiology and Pathology of Hearing  Warsaw Poland"},{"name":"Institute of Sensory Organs  Kajetany\/Warsaw Poland"},{"name":"ENT Department Center of Hearing and Speech MEDINCUS  Kajetany\/Warsaw Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3575-6733","authenticated-orcid":false,"given":"Monika","family":"Baczyk","sequence":"additional","affiliation":[{"name":"Department of Teleaudiology and Hearing Screening, World Hearing Center Institute of Physiology and Pathology of Hearing  Warsaw Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-0425-1121","authenticated-orcid":false,"given":"Magda","family":"Balwicka\u2010Kowalczyk","sequence":"additional","affiliation":[{"name":"Department of Teleaudiology and Hearing Screening, World Hearing Center Institute of Physiology and Pathology of Hearing  Warsaw Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7141-9851","authenticated-orcid":false,"given":"Henryk","family":"Skarzynski","sequence":"additional","affiliation":[{"name":"Otorhinolaryngosurgery Clinic, World Hearing Center Institute of Physiology and Pathology of Hearing  Warsaw Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,22]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"World Health Organization \u201cDeafness and Hearing Loss \u201daccessed November 17 2025 https:\/\/www.who.int\/health\u2010topics\/hearing\u2010loss#tab=tab_2."},{"key":"e_1_2_10_3_1","first-page":"7","article-title":"Otology: Hearing Loss","volume":"542","author":"Tudeen M.","year":"2024","journal-title":"FP Essentials"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.3109\/14992020309074639"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599820910377"},{"issue":"6","key":"e_1_2_10_6_1","first-page":"366","article-title":"Diagnosis and Management of Hearing Loss in Elderly Patients","volume":"45","author":"Phan N. 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