{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T21:24:32Z","timestamp":1760909072230,"version":"3.40.4"},"reference-count":18,"publisher":"S. Karger AG","issue":"5","license":[{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Audiol Neurotol"],"published-print":{"date-parts":[[2016]]},"abstract":"<b><i>Objective:<\/i><\/b> To summarise treatment outcomes compared to surgical and patient variables for a multicentre recipient cohort using a fully implantable active middle ear implant for hearing impairment. To describe the authors' preferred surgical technique to determine microphone placement. <b><i>Study Design:<\/i><\/b> Multicentre retrospective, observational survey. <b><i>Setting:<\/i><\/b> Five tertiary referral centres. <b><i>Patients:<\/i><\/b> Carina recipients (66 ears, 62 subjects) using the current Cochlear\u00ae Carina\u00ae System or the legacy device, the Otologics\u00ae Fully Implantable Middle Ear, with a T2 transducer. <b><i>Methods:<\/i><\/b> Patient file review and routine clinical review. Patient outcomes assessed were satisfaction, daily use and feedback reports at the first fitting and \u226512 months after implantation. Descriptive and statistical analysis of correlations of variables and their influence on outcomes was performed. Independently reported preferred methods for microphone placement are collectively summarised. <b><i>Results:<\/i><\/b> The average implant experience was 3.5 years. Satisfaction increased significantly over time (<i>p<\/i> < 0.05). No correlation with covariates examined was observed. Feedback significantly decreased over time, showing a significant correlation with microphone location, primary motivation, gender, age at implantation, and contralateral hearing aid use (<i>p<\/i> < 0.05). Patient satisfaction was inversely correlated with reports of system feedback (<i>p<\/i> < 0.05). The implantable microphone was most commonly on the posterior inferior mastoid line, in 42\/66 (65%) cases, correlating with less likelihood for feedback and consistent with author surgical preference. <b><i>Conclusion:<\/i><\/b> Carina recipients in this study present as satisfied consistent daily users with very few reports of persistent feedback. As microphone location is an influencing factor, a careful surgical consideration of microphone placement is required. The authors prefer a posterior inferior mastoid line position whenever possible.<\/jats:p>","DOI":"10.1159\/000454666","type":"journal-article","created":{"date-parts":[[2017,1,4]],"date-time":"2017-01-04T22:01:35Z","timestamp":1483567295000},"page":"333-345","source":"Crossref","is-referenced-by-count":19,"title":["A Retrospective Multicentre Cohort Review of Patient Characteristics and Surgical Aspects versus the Long-Term Outcomes for Recipients of a Fully Implantable Active Middle Ear Implant"],"prefix":"10.1159","volume":"21","author":[{"given":"Philippe P.","family":"Lefebvre","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Javier","family":"Gisbert","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Domenico","family":"Cuda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"St\u00e9phane","family":"Tringali","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arnaud","family":"Deveze","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2017,1,5]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0033-1363463"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-016-3998-1"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.3109\/00016481003671244"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000000718"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1121\/1.397697"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1177\/1084713809346262"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e3181656969"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2007.03.012"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2014.08.007"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-4486.2012.02492.x"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1159\/000171479"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e3181c34898"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0110636"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e3181e40e31"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215116000748"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1159\/000444243"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6665(05)70340-6"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e31828f47c2"}],"container-title":["Audiology and Neurotology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/454666","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/454666","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/454666","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T17:03:35Z","timestamp":1745427815000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000454666"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016]]},"references-count":18,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2017,1,25]]},"published-print":{"date-parts":[[2017,1,31]]}},"URL":"https:\/\/doi.org\/10.1159\/000454666","archive":["Portico"],"relation":{},"ISSN":["1420-3030","1421-9700"],"issn-type":[{"type":"print","value":"1420-3030"},{"type":"electronic","value":"1421-9700"}],"subject":[],"published":{"date-parts":[[2016]]}}}