{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T03:20:23Z","timestamp":1788924023445,"version":"build-2803163510"},"reference-count":69,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,5,25]],"date-time":"2020-05-25T00:00:00Z","timestamp":1590364800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Bone\u2010anchored hearing systems (BAHSs) are widely used for hearing rehabilitation and are indicated in cases of conductive and mixed hearing loss and in single\u2010sided deafness. The Ponto system, that is one available option, has been on the market since 2009.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective of review<\/jats:title>\n                    <jats:p>The aim of this study is to systematically review the literature reporting on the Ponto system, with regard to audiological and surgical outcomes and patient's quality\u2010of\u2010life scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Type of review<\/jats:title>\n                    <jats:p>A systematic literature search was performed in the PubMed database 2009\u2010July 2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Search strategy<\/jats:title>\n                    <jats:p>Search term: ((osseointegrated hearing aid) OR (bone conduction implant) OR (bone anchored hearing) OR BAHA OR BAHS OR BAHI). Pre\u2010defined inclusion and exclusion criteria were applied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Evaluation method<\/jats:title>\n                    <jats:p>English\u2010language articles reporting original clinical data (audiological, surgical or quality\u2010of\u2010life outcomes) on the Ponto system were included.<\/jats:p>\n                    <jats:p>Articles reporting on Ponto and another BAHS system where the results on Ponto constituted less than 50% of the patient population or including only results on testband or softband devices were excluded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Audiological outcomes were discussed in 20 publications. Improvement against the unaided thresholds was demonstrated. The functional improvement was on average 33.9\u00a0dB. The effective gain or remaining air\u2010bone gap was on average 6.7\u00a0dB. All evaluated data showed aided speech reception thresholds significantly below normal speech level. Twenty\u2010seven publications reported surgical and follow\u2010up data for the Ponto system. Implant survival was 97.7%, adverse skin reactions (Holgers\u00a0\u2265\u00a02) were 5% across visits and 15% across patients. No complications were life\u2010threatening, causing permanent disability\/damage or requiring a hospitalisation. Five studies reported quality of life using the Glasgow benefit inventory, 98% reported an improvement when analysing the score on an individual level.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The outcomes of this systematic review confirm that percutaneous systems provide consistent audiological benefits and improved quality of life for patients. Further, the review demonstrates that the percutaneous systems are safe, with relatively low complication rates. Skin\u2010related complications are the most common complication type and are experienced by approximately one patient out of seven, or in less than one of 20 follow\u2010up visits.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/coa.13556","type":"journal-article","created":{"date-parts":[[2020,5,9]],"date-time":"2020-05-09T18:19:45Z","timestamp":1589048385000},"page":"667-680","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":52,"title":["Ten years of experience with the Ponto bone\u2010anchored hearing system\u2014A systematic literature review"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1847-6595","authenticated-orcid":false,"given":"Hel\u00e9n","family":"Lagerkvist","sequence":"first","affiliation":[{"name":"Oticon Medical AB Askim Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karin","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Oticon Medical Sm\u00f8rum Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcus","family":"Holmberg","sequence":"additional","affiliation":[{"name":"Oticon Medical AB Askim Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrika","family":"Petersson","sequence":"additional","affiliation":[{"name":"Oticon Medical AB Askim Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cor","family":"Cremers","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Donders Institute for Brain, Cognition and Behaviour Radboud University Medical Centre Nijmegen Nijmegen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malou","family":"Hultcrantz","sequence":"additional","affiliation":[{"name":"Karolinska Institutet Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,5,25]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"10","article-title":"Acoustic and physiologic aspects of bone conduction hearing","volume":"71","author":"Stenfelt S","year":"2011","journal-title":"Adv Otorhinolaryngol"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.3109\/02844316909036699"},{"issue":"4","key":"e_1_2_8_4_1","first-page":"304","article-title":"Osseointegrated titanium implants in the temporal bone. 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