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The surgical course, healing, and soft tissue condition were assessed. Audiometric tests included pure tone audiometry, speech audiometry and direct bone conduction measurements. Participants completed the APHAB and SSQ questionnaires.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>All surgeries were successful. No soft tissue problems were observed. Pure tone audiometry showed a mean functional gain of 47.4\u2009\u00b1\u20095.6 dB HL (<jats:italic>p<\/jats:italic>\u2009=\u20090.000089). The Polish Monosyllabic Word Test showed mean improvements for silent, medium and loud speech of 59.5\u2009\u00b1\u20091.8%, 46.5\u2009\u00b1\u200932.3% and 13.3\u2009\u00b1\u200920.9% in quiet and 38.5\u2009\u00b1\u200924.4%, 62.0\u2009\u00b1\u20099.1%, and 36.5\u2009\u00b1\u200934.4% in noise (all <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). The Polish Matrix Test indicated a mean SNR improvement of 8.78\u2009\u00b1\u20092.31 dB SPL (<jats:italic>p<\/jats:italic>\u2009=\u20090.000155). BC in situ measurements were significantly better post-implantation compared to preoperative levels with Baha<jats:sup>\u00ae\u00a0<\/jats:sup>6\u00a0Max on the Softband. APHAB scores showed significant improvements in global, ease of communication, background noise and reverberation scores (all <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). SSQ scores improved significantly in speech, spatial and quality subscales (all <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.000001).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>The Osia<jats:sup>\u00ae\u00a0<\/jats:sup>2 implantation is an effective treatment for patients with mixed and conductive hearing loss. The surgery is relatively easy and safe, with no significant postoperative or magnet pressure-related complications. Osia<jats:sup>\u00ae\u00a0<\/jats:sup>2 significantly improves speech understanding in noise and reduces communication problems.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00405-024-09057-2","type":"journal-article","created":{"date-parts":[[2024,11,9]],"date-time":"2024-11-09T10:35:45Z","timestamp":1731148545000},"page":"1757-1768","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Active piezoelectric bone conduction implant Osia\u00ae 2 - evaluation of surgery and one-year audiological and quality of life benefits"],"prefix":"10.1007","volume":"282","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6174-9758","authenticated-orcid":false,"given":"Wojciech","family":"Gaw\u0119cki","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2138-7470","authenticated-orcid":false,"given":"Renata","family":"Gibasiewicz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6596-3172","authenticated-orcid":false,"given":"Magdalena","family":"B\u0142aszczyk","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0006-6352","authenticated-orcid":false,"given":"Ma\u0142gorzata","family":"Wierzbicka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3351-0923","authenticated-orcid":false,"given":"Ewelina","family":"Bartkowiak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,11,9]]},"reference":[{"key":"9057_CR1","doi-asserted-by":"publisher","unstructured":"Lenarz T (2017) Cochlear implant - state of the art. 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