{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T02:41:30Z","timestamp":1772160090255,"version":"3.50.1"},"reference-count":15,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,6,26]],"date-time":"2024-06-26T00:00:00Z","timestamp":1719360000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Although the Baha 5SP has been commercially available for six\u2009years, very few studies have been performed on the device's efficacy. The current study aims to evaluate the characteristics and audiological results in patients with severe\u2010to\u2010profound mixed hearing loss fitted with this superpower sound processor.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This retrospective evaluation was conducted at a tertiary referral centre where a series of 82 adult patients with severe\u2010to\u2010profound mixed hearing loss were implanted with a percutaneous bone\u2010anchored hearing system and fitted with a superpower sound processor between 2016 and 2019. Patients with incomplete or unreliable audiological data (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200924) were excluded, resulting in 58 data sets for analysis. The main outcome measures were unaided and aided pure\u2010tone thresholds and aided free\u2010field speech perception in quiet.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The median unaided air conduction (AC) threshold averaged across 0.5, 1 and 2\u2009kHz (PTA\n                      <jats:sub>0.5\u20132kHz<\/jats:sub>\n                      ) of all patients was 75\u2009dB hearing loss (HL); the median unaided AC averaged across 1, 2 and 4\u2009kHz (PTA\n                      <jats:sub>1\u20134kHz<\/jats:sub>\n                      ) was 84\u2009dB HL. For bone conduction and direct bone conduction, the median PTA\n                      <jats:sub>0.5\u20132kHz<\/jats:sub>\n                      was 52 and 47\u2009dB HL, respectively. With the superpower device, the median free\u2010field speech reception threshold was 54\u2009dB sound pressure level (SPL), and the median speech perception score at 65\u2009dB SPL was 80%.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>At least 75% of the patients reached a maximum phoneme score of 70%. For patients with lower scores, the superpower device still provides a substantial hearing benefit. This makes the superpower device particularly suitable for patients with severe\u2010to\u2010profound mixed hearing loss with a contraindication for conventional hearing aids and\/or cochlear implants.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/coa.14187","type":"journal-article","created":{"date-parts":[[2024,6,26]],"date-time":"2024-06-26T22:49:17Z","timestamp":1719442157000},"page":"670-676","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Evaluation of a super powerful bone\u2010anchored hearing system and its users: A retrospective study"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0767-4449","authenticated-orcid":false,"given":"Emma M.","family":"Teunissen","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology Donders Center for Neurosciences, Radboud University Medical Center  Nijmegen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-1505-5677","authenticated-orcid":false,"given":"Herman J. W.","family":"Kok","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Donders Center for Neurosciences, Radboud University Medical Center  Nijmegen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5337-2962","authenticated-orcid":false,"given":"Arno M.","family":"Janssen","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Donders Center for Neurosciences, Radboud University Medical Center  Nijmegen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9708-935X","authenticated-orcid":false,"given":"Myrthe K. S.","family":"Hol","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Donders Center for Neurosciences, Radboud University Medical Center  Nijmegen The Netherlands"},{"name":"Department of Otorhinolaryngology &amp; Head and Neck Surgery University Medical Center Groningen, Groningen, Netherlands; Research School of Behavioral and Cognitive Neurosciences, Graduate School of Medical Sciences, University of Groningen  Groningen Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5016-989X","authenticated-orcid":false,"given":"Arjan J.","family":"Bosman","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Donders Center for Neurosciences, Radboud University Medical Center  Nijmegen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,6,26]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1159\/000078388"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.3109\/01050398409076252"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e31818be97a"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1121\/1.412225"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0003489405114S1201"},{"key":"e_1_2_12_7_1","article-title":"Are today's implantable devices better than conventional solutions for patients with conductive or mixed hearing loss?","volume":"23","author":"Snik A","year":"2014","journal-title":"ENT Audiol News"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.12989"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.13084"},{"key":"e_1_2_12_10_1","unstructured":"NormannJ.Review of fitting ranges. Cochlear Bone Anchored Solutions AB D773528; 2015."},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.3342\/ceo.2012.5.S1.S43"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.3109\/00206099509071918"},{"key":"e_1_2_12_13_1","volume-title":"Speech perception by the hearing impaired","author":"Bosman AJ","year":"1989"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000003491"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.heares.2021.108424"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0000000000000568"}],"container-title":["Clinical Otolaryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/coa.14187","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,6]],"date-time":"2024-08-06T20:55:29Z","timestamp":1722977729000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/coa.14187"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,26]]},"references-count":15,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2024,9]]}},"alternative-id":["10.1111\/coa.14187"],"URL":"https:\/\/doi.org\/10.1111\/coa.14187","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.1111\/COA.14187\/v1\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/COA.14187\/v2\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/COA.14187\/v1\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/COA.14187\/v2\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/COA.14187\/v2\/decision1","asserted-by":"object"}]},"ISSN":["1749-4478","1749-4486"],"issn-type":[{"value":"1749-4478","type":"print"},{"value":"1749-4486","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,26]]},"assertion":[{"value":"2023-07-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}