{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T10:24:04Z","timestamp":1777976644158,"version":"3.51.4"},"reference-count":22,"publisher":"Georg Thieme Verlag KG","issue":"09","funder":[{"name":"Helios Center for Research and Innovation","award":["2019-0134"],"award-info":[{"award-number":["2019-0134"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Laryngorhinootologie"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Das ADHEAR z\u00e4hlt zu den nichtinvasiven, passiven Knochenleitungsh\u00f6rger\u00e4ten. Es hat den Vorteil, dass es keinen Anpressdruck zum Tragen ben\u00f6tigt. Patienten mit Otosklerose und Stapesankylose mit normalem Innenohr bilden eine audiologisch homogene Gruppe, f\u00fcr die der Nutzen des ADHEAR evaluiert wurde.<\/jats:p><jats:p>31 Probanden mit maximaler Schallleitungsschwerh\u00f6rigkeit wurden pr\u00e4operativ mit und ohne ADHEAR ton- und sprachaudiometrisch mit dem Freiburger Zahlen- und Einsilbertest getestet. Die H\u00f6rleistung wurde bei 4 Angebotsschallpegeln (35, 50, 65 und 80dB) evaluiert. Intraoperativ best\u00e4tigte sich die Verdachtsdiagnose Otosklerose bei 28 Patienten.<\/jats:p><jats:p>Durch das ADHEAR verbesserte sich der PTA4 (Mittelwert 500Hz, 1, 2 und 4kHz) der Freifeld-H\u00f6rschwelle der Patienten mit Otosklerose um 8,1 (\u00b17,14) dB. Das Zahlenverstehen ohne bzw. mit ADHEAR bei 65dB betrug 69,6% bzw. 87,3% (p=0,002). Das Einsilberverstehen ohne bzw. mit ADHEAR bei 65dB betrug 37,9% bzw. 61,2% (p=0,00008).<\/jats:p><jats:p>ADHEAR verbesserte in den meisten Testsituationen bei den Otosklerosepatienten die Sprachverst\u00e4ndlichkeit signifikant. Aufgrund seiner Gr\u00f6\u00dfe bei den mittleren, f\u00fcr die Alltagssituation repr\u00e4sentativen Angebotsschallpegeln 50 und 65dB erscheint der Gewinn klinisch relevant. Bei sehr schwierigen und sehr leichten Bedingungen traten S\u00e4ttigungseffekte auf. Das ADHEAR stellt somit eine gute Versorgungsoption mindestens f\u00fcr die tempor\u00e4re Anwendung dar.<\/jats:p>","DOI":"10.1055\/a-2368-7317","type":"journal-article","created":{"date-parts":[[2025,2,24]],"date-time":"2025-02-24T18:49:51Z","timestamp":1740422991000},"page":"557-565","source":"Crossref","is-referenced-by-count":1,"title":["Leistung des ADHEAR bei maximaler Schallleitungsschwerh\u00f6rigkeit aufgrund von Otosklerose"],"prefix":"10.1055","volume":"104","author":[{"given":"Ioana","family":"Brill","sequence":"additional","affiliation":[{"name":"HNO-Universit\u00e4tsklinik Bochum, Ruhr-Universit\u00e4t Bochum, Bochum, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan Michael","family":"Brill","sequence":"additional","affiliation":[{"name":"Deutschland, MED-EL Elektromedizinische Ger\u00e4te GmbH, Innsbruck, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Dazert","sequence":"additional","affiliation":[{"name":"HNO, Ruhr Universit\u00e4t Bochum, Bochum, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christiane","family":"V\u00f6lter","sequence":"additional","affiliation":[{"name":"Hals- Nasen- und Ohrenheilkunde, Universit\u00e4tsklinik fur Hals- Nasen- Ohrenheilkunde und Kopf- und Halschirurgie, der Ruhr-Universit\u00e4t Bochum im Sankt Elisabeth Hospital, Bochum, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Stark","sequence":"additional","affiliation":[{"name":"HNO-Klinik, HELIOS Klinikum M\u00fcnchen West, Munchen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,2,24]]},"reference":[{"issue":"05","key":"ref1","doi-asserted-by":"publisher","first-page":"571","DOI":"10.1097\/MAO.0000000000002184","article-title":"A Randomized Cross-over Trial Comparing a Pressure-free, Adhesive to a Converntional Bone Conduction Hearing Device","volume":"40","author":"V Dahm","year":"2019","journal-title":"Otol Neurotol"},{"issue":"08","key":"ref2","doi-asserted-by":"publisher","first-page":"1025","DOI":"10.1097\/MAO.0000000000001924","article-title":"Unilateral and Bilateral Audiologic Benefit With an Adhesively Attached, Noninvasive Bone Conduction Hearing System","volume":"38","author":"T Gawlicek","year":"2018","journal-title":"Otol Neurotol"},{"issue":"09","key":"ref3","doi-asserted-by":"publisher","first-page":"698","DOI":"10.1007\/s00106-019-0685-8","article-title":"Neue M\u00f6glichkeiten der Rehabilitation bei Schallleitungsschwerh\u00f6rigkeit","volume":"67","author":"I Brill","year":"2019","journal-title":"HNO"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1016\/j.ijporl.2019.03.014","article-title":"A new adhesive bone conduction hearing system effectively treats conductive hearing loss in children","volume":"122","author":"K Neumann","year":"2019","journal-title":"Int J Pediatr Otolaryngol"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"669","DOI":"10.1055\/s-0030-126731","article-title":"Schwerh\u00f6rigkeit \u2013 \u00c4tiologie, Diagnostik und auditive Rehabilitation","volume":"89","author":"T Zahnert","year":"2010","journal-title":"Laryngorhinootologie"},{"issue":"02","key":"ref6","doi-asserted-by":"crossref","first-page":"35","DOI":"10.17430\/1003045","article-title":"An adhesive bone conduction system, ADHEAR, a new treatment option for conductive hearing losses","volume":"8","author":"P Westerkull","year":"2018","journal-title":"J Hear Sci"},{"issue":"10","key":"ref7","doi-asserted-by":"publisher","first-page":"811","DOI":"10.1066\/a-1308-3888","article-title":"Experimentelle Evaluation des Adhear, eines neuen transkutanen Knochenleitungsh\u00f6rger\u00e4ts","volume":"100","author":"I Dobrev","year":"2021","journal-title":"Laryngorhinootologie"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"940","DOI":"10.1097\/MAO.0000000000001892","article-title":"A Prospective Rendomized Crossover Study in Single Sided Deafness on the New Non-Invasive Adhesive Bone Conduction Hearing System","volume":"39","author":"G Mertens","year":"2018","journal-title":"Otol Neurotol"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"717","DOI":"10.1055\/a-0652-6494","article-title":"Diagnostik und operative Therapie der Otosklerose","volume":"97","author":"SK Plontke","year":"2018","journal-title":"Laryngorhinootologie"},{"key":"ref11","volume-title":"Experiments in hearing. 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