{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T09:59:15Z","timestamp":1775037555276,"version":"3.50.1"},"reference-count":21,"publisher":"Springer Science and Business Media LLC","issue":"S1","license":[{"start":{"date-parts":[[2023,10,9]],"date-time":"2023-10-09T00:00:00Z","timestamp":1696809600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,10,9]],"date-time":"2023-10-09T00:00:00Z","timestamp":1696809600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4tsklinikum Freiburg"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["HNO"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>The active transcutaneous, partially implantable osseointegrated bone conduction system Cochlear\u2122 Osia\u00ae (Cochlear, Sydney, Australia) has been approved for use in German-speaking countries since April 2021. The Osia is indicated for patients either having  conductive (CHL) or mixed hearing loss (MHL) with an average bone conduction (BC) hearing loss of 55\u202fdB HL or less, or having single-sided deafness (SSD).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Objectives<\/jats:title>\n                <jats:p>The aim of this retrospective study was to investigate the prediction of postoperative speech recognition with Osia\u00ae and to evaluate the speech recognition of patients with MHL and in particular an aided dynamic range of less than 30\u202fdB with Osia\u00ae.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Materials and methods<\/jats:title>\n                <jats:p>Between 2017 and 2022, 29\u00a0adult patients were fitted with the Osia\u00ae, 10\u00a0patients (11\u00a0ears) with CHL and 19\u00a0patients (25\u00a0ears) with MHL. MHL was subdivided into two groups: MHL\u2011I with four-frequency pure-tone average in BC (BC-4PTA) \u2265\u202f20\u202fdB HL and &lt;\u202f40\u202fdB HL (<jats:italic>n<\/jats:italic>\u202f=\u200915\u00a0patients; 20\u00a0ears) vs. MHL-II with BC-4PTA \u2265\u202f40\u202fdB HL (<jats:italic>n<\/jats:italic>\u202f=\u20094\u00a0patients; 5\u00a0ears). All patients tested a\u00a0bone conduction hearing device on a\u00a0softband preoperatively. Speech intelligibility in quiet was assessed preoperatively using the Freiburg monosyllabic test in unaided condition, with the trial BCHD preoperatively and with Osia\u00ae postoperatively with Osia\u00ae. The maximum word recognition  score (mWRS) unaided and the  word recognition score (WRS) with the test system at 65\u202fdB SPL were correlated with the postoperative  WRS  with Osia\u00ae at 65\u202fdB SPL.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Preoperative prediction of postoperative outcome with Osia\u00ae was better using the mWRS than by the  WRS at 65\u202fdB SPL with the test device on the softband. Postoperative  WRS was most predictive for patients with CHL and less predictable  for patients with mixed hearing loss with BC-4PTA \u2265\u202f40\u202fdB HL. For the test device on a softband, the achievable outcome tended to a minimum, with the mWRS tending to predict the realistically achievable outcome.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Osia\u00ae can be used for the treatment of CHL and MHL within the indication limits. The average preoperative bone conduction hearing threshold also provides an approximate estimate of the postoperative  WRS with Osia\u00ae, for which the most accurate prediction is obtained using the preoperative mWRS. Prediction accuracy decreases from a\u00a0BC-4PTA of \u2265\u202f40\u202fdB HL.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00106-023-01337-3","type":"journal-article","created":{"date-parts":[[2023,10,9]],"date-time":"2023-10-09T14:03:59Z","timestamp":1696860239000},"page":"1-9","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Prediction of postoperative speech comprehension with the transcutaneous partially implantable bone conduction hearing system Osia\u00ae","Vorhersage des postoperativen Sprachverstehens mit dem transkutanen teilimplantierbaren Knochenleitungsh\u00f6rsystem Osia\u00ae"],"prefix":"10.1007","volume":"72","author":[{"given":"Susan","family":"Arndt","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Wesarg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antje","family":"Aschendorff","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iva","family":"Speck","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Hocke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Till Fabian","family":"Jakob","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ann-Kathrin","family":"Rauch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,10,9]]},"reference":[{"issue":"21","key":"1337_CR1","doi-asserted-by":"publisher","first-page":"34155570","DOI":"10.1007\/s00405-021-06946-8","volume":"2021","author":"S Arndt","year":"2021","unstructured":"Arndt\u00a0S, Rauch\u00a0AK, Speck\u00a0I (2021) Active transcutaneous bone-anchored hearing implant: how I do it. Eur Arch Otorhinolaryngol 2021(21):34155570. https:\/\/doi.org\/10.1007\/s00405-021-06946-8","journal-title":"Eur Arch Otorhinolaryngol"},{"issue":"1","key":"1337_CR2","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1007\/s00106-019-00780-5","volume":"68","author":"C D\u00f6rfler","year":"2020","unstructured":"D\u00f6rfler\u00a0C, Hocke\u00a0T, Hast\u00a0A, Hoppe\u00a0U (2020) Speech recognition with hearing aids for 10 standard audiograms. HNO 68(1):40\u201347","journal-title":"HNO"},{"key":"1337_CR3","doi-asserted-by":"publisher","first-page":"1020","DOI":"10.1007\/s00106-007-1608-7","volume":"56","author":"I Gr\u00fcnder","year":"2008","unstructured":"Gr\u00fcnder\u00a0I, Seidl\u00a0R, Ernst\u00a0A et al (2008) Wertigkeit der BAHA-Testung f\u00fcr das postoperative H\u00f6rergebnis. HNO 56:1020\u20131024. https:\/\/doi.org\/10.1007\/s00106-007-1608-7","journal-title":"HNO"},{"key":"1337_CR4","doi-asserted-by":"publisher","first-page":"443","DOI":"10.1007\/s00106-013-2813-1","volume":"62","author":"U Hoppe","year":"2014","unstructured":"Hoppe\u00a0U, Hast\u00a0A, Hocke\u00a0T (2014) Sprachverstehen mit H\u00f6rgeraten in Abh\u00e4ngigkeit vom Tongeh\u00f6r. HNO 62:443\u2013448","journal-title":"HNO"},{"issue":"6","key":"1337_CR5","doi-asserted-by":"publisher","first-page":"1001","DOI":"10.1097\/MAO.0000000000000730","volume":"36","author":"U Hoppe","year":"2015","unstructured":"Hoppe\u00a0U, Hast\u00a0A, Hocke\u00a0T (2015) Audiometry-Based Screening Procedure for Cochlear Implant Candidacy. Otol Neurotol 36(6):1001\u20131005","journal-title":"Otol Neurotol"},{"issue":"3","key":"1337_CR6","doi-asserted-by":"publisher","first-page":"199","DOI":"10.1007\/s00106-018-0605-3","volume":"67","author":"U Hoppe","year":"2019","unstructured":"Hoppe\u00a0U, Hocke\u00a0T, Hast\u00a0A, Iro\u00a0H (2019) Das maximale Einsilberverstehen als Pr\u00e4diktor f\u00fcr das Sprachverstehen mit Cochleaimplantat. HNO 67(3):199\u2013206. https:\/\/doi.org\/10.1007\/s00106-018-0605-3","journal-title":"HNO"},{"key":"1337_CR7","doi-asserted-by":"publisher","DOI":"10.3389\/fnins.2021.762337","author":"J Liu","year":"2021","unstructured":"Liu\u00a0J, Huang\u00a0X, Zhang\u00a0J (2021) Unilateral Conductive Hearing Loss Disrupts the Developmental Refinement of Binaural Processing in the Rat Primary Auditory Cortex. Front Neurosci. https:\/\/doi.org\/10.3389\/fnins.2021.762337","journal-title":"Front Neurosci"},{"issue":"9","key":"1337_CR8","doi-asserted-by":"publisher","first-page":"1147","DOI":"10.1097\/MAO.0000000000001954","volume":"39","author":"H Maier","year":"2018","unstructured":"Maier\u00a0H, Lenarz\u00a0T, Dollezal\u00a0LV, Busch\u00a0S (2018) Direct acoustic cochlear implants lead to an improved speech perception gap compared to conventional hearing aid. Otol Neurotol 39(9):1147\u20131152","journal-title":"Otol Neurotol"},{"issue":"6","key":"1337_CR9","doi-asserted-by":"publisher","first-page":"809","DOI":"10.1097\/MAO.0000000000001412","volume":"38","author":"A Muller","year":"2017","unstructured":"Muller\u00a0A, Mir-Salim\u00a0P, Zellhuber\u00a0N, Helbig\u00a0R, Bloching\u00a0M, Schmidt\u00a0T, Koscielny\u00a0S, Dziemba\u00a0OC, Plontke\u00a0SK, Rahne\u00a0T (2017) Influence of floating-mass transducer coupling efficiency for active middle-ear implants on speech recognition. Otol Neurotol 38(6):809\u2013814","journal-title":"Otol Neurotol"},{"issue":"9","key":"1337_CR10","doi-asserted-by":"publisher","first-page":"1249","DOI":"10.1097\/MAO.0000000000002794","volume":"41","author":"EAM Mylanus","year":"2020","unstructured":"Mylanus\u00a0EAM, Hua\u00a0H, Wigren\u00a0S, Arndt\u00a0S, Skarzynski\u00a0PH, Telian\u00a0SA, Briggs\u00a0RJS (2020) Multicenter clinical investigation of a\u00a0new active Osseointegrated steady-state implant system. Otol Neurotol 41(9):1249\u20131257. https:\/\/doi.org\/10.1097\/MAO.0000000000002794","journal-title":"Otol Neurotol"},{"issue":"3","key":"1337_CR11","doi-asserted-by":"publisher","first-page":"271","DOI":"10.1001\/archotol.124.3.271","volume":"124","author":"EAM Mylanus","year":"1998","unstructured":"Mylanus\u00a0EAM, van der Pouw\u00a0KC, Snik\u00a0AF, Cremers\u00a0CW (1998) Intraindividual comparison of the bone-anchored hearing aid and air-conduction hearing aids. Arch Otolaryngol Head Neck Surg 124(3):271\u2013276","journal-title":"Arch Otolaryngol Head Neck Surg"},{"key":"1337_CR12","unstructured":"Osia 2 System Datasheet. D1618102. Cochlear Bone Anchored Solutions AB."},{"issue":"6","key":"1337_CR13","doi-asserted-by":"publisher","first-page":"475","DOI":"10.1007\/s00106-019-00776-1","volume":"69","author":"T Rahne","year":"2021","unstructured":"Rahne\u00a0T (2021) Physical audiological principles of implantable hearing systems: About power transmission, coupling and power output. HNO 69(6):475\u2013482","journal-title":"HNO"},{"key":"1337_CR14","doi-asserted-by":"publisher","first-page":"108424","DOI":"10.1016\/j.heares.2021.108424","volume":"421","author":"T Rahne","year":"2022","unstructured":"Rahne\u00a0T, Plontke\u00a0SK (2022) Systematic and audiological indication criteria for bone conduction devices and active middle ear implants. Hear Res 421:108424","journal-title":"Hear Res"},{"issue":"9","key":"1337_CR15","doi-asserted-by":"publisher","first-page":"4279","DOI":"10.1007\/s00405-021-07167-9","volume":"279","author":"AK Rauch","year":"2022","unstructured":"Rauch\u00a0AK, Wesarg\u00a0T, Aschendorff\u00a0A, Speck\u00a0I, Arndt\u00a0S (2022) Long-term data of the new transcutaneous partially implantable bone conduction hearing system Osia. Eur Arch Otorhinolaryngol 279(9):4279\u20134288. https:\/\/doi.org\/10.1007\/s00405-021-07167-9","journal-title":"Eur Arch Otorhinolaryngol"},{"issue":"79\u201393","key":"1337_CR16","doi-asserted-by":"publisher","first-page":"39691","DOI":"10.2147\/MDER","volume":"8","author":"S Reinfeldt","year":"2015","unstructured":"Reinfeldt\u00a0S, H\u00e5kansson\u00a0B, Taghavi\u00a0H, Eeg-Olofsson\u00a0M (2015) New developments in bone conduction hearing implants: a\u00a0review. Med Devices 8(79\u201393):39691. https:\/\/doi.org\/10.2147\/MDER","journal-title":"Med Devices"},{"key":"1337_CR17","unstructured":"Richtlinie des Gemeinsamen Bundesausschusses uber die Verordnung von Hilfsmitteln in der vertrags\u00e4rztlichen Versorgung (Hilfsmittel-Richtlinie\/HilfsM-RL) in Kraft getreten am 17.\u00a0February 2017."},{"key":"1337_CR18","unstructured":"S2k-Leitlinie Cochlea-Implantat Versorgung (AWMF); Version: 3.0 ; Stand: 31. Okt. 2020 ; G\u00fcltig bis: 30. Okt. 2025 (in \u00dcberarbeitung)"},{"issue":"Suppl","key":"1337_CR19","first-page":"1","volume":"12","author":"AF Snik","year":"2005","unstructured":"Snik\u00a0AF, Mylanus\u00a0EA, Proops\u00a0DW, Wolfaardt\u00a0JF, Hodgetts\u00a0WE, Somers\u00a0T, Niparko\u00a0JK, Wazen\u00a0JJ, Sterkers\u00a0O, Cremers\u00a0CW, Tjellstr\u00f6m\u00a0A (2005) Consensus statements on the BAHA system: where do we stand at present? Ann Otol Rhinol Laryngol 12(Suppl):1\u201312","journal-title":"Ann Otol Rhinol Laryngol"},{"issue":"8","key":"1337_CR20","doi-asserted-by":"publisher","first-page":"564","DOI":"10.1007\/s00106-016-0166-2","volume":"64","author":"A Winkler","year":"2016","unstructured":"Winkler\u00a0A, Holube\u00a0I (2016) Test-retest reliability of the Freiburg monosyllabic speech test. HNO 64(8):564\u2013571","journal-title":"HNO"},{"key":"1337_CR21","doi-asserted-by":"publisher","first-page":"102819","DOI":"10.1016\/j.nicl.2021.102819","volume":"32","author":"T Yang","year":"2021","unstructured":"Yang\u00a0T, Liu\u00a0Q, Fan\u00a0X, Hou\u00a0B, Wang\u00a0J, Chen\u00a0X (2021) Altered regional activity and connectivity of functional brain networks in congenital unilateral conductive hearing loss. Neuroimage Clin 32:102819","journal-title":"Neuroimage Clin"}],"container-title":["HNO"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00106-023-01337-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00106-023-01337-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00106-023-01337-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,19]],"date-time":"2024-01-19T16:03:15Z","timestamp":1705680195000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00106-023-01337-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,9]]},"references-count":21,"journal-issue":{"issue":"S1","published-print":{"date-parts":[[2024,1]]}},"alternative-id":["1337"],"URL":"https:\/\/doi.org\/10.1007\/s00106-023-01337-3","relation":{},"ISSN":["0017-6192","1433-0458"],"issn-type":[{"value":"0017-6192","type":"print"},{"value":"1433-0458","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10,9]]},"assertion":[{"value":"14 May 2023","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 October 2023","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"S.\u00a0Arndt states the following: Advanced Bionics: travel reimbursement, financial support for research; Cochlear: financial support for research, travel reimbursement; MED-EL: financial support for research, travel reimbursement; Oticon Medical: travel reimbursement, financial support for research. T.\u00a0Wesarg states the following: Advanced Bionics: financial support for research, travel reimbursement; Cochlear: financial support for research, travel reimbursement; MED-EL: financial support for research, travel reimbursement. A.\u00a0Aschendorff states the following: Advanced Bionics: financial support for research, medical advisory board, travel reimbursement; Cochlear: financial support for research, travel reimbursement; MED-EL: financial support for research, travel reimbursement; Oticon Medical: financial support for research, travel reimbursement. I.\u00a0Speck states the following; Cochlear: travel reimbursement. T.\u00a0Hocke is an employee of Cochlear Germany. T. F. Jakob, A.-K.\u00a0Rauch declare that they have no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The present study was conducted with the approval of the Ethics Committee of the University of Freiburg (No. 21\/1142) in accordance with national law and in accordance with the Declaration of Helsinki of 2013 (in the current, revised version; DRKS 00024640).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The supplement containing this article is not sponsored by industry.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}