{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T18:02:48Z","timestamp":1764784968167,"version":"build-2065373602"},"reference-count":17,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,9,6]],"date-time":"2022-09-06T00:00:00Z","timestamp":1662422400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100005782","name":"Nara Medical University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005782","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare audiometric outcomes of a new cartilage conduction hearing device (CCD) with traditional bone conduction hearing devices (BCDs).<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Clinical trial and crossover study design.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Tertiary academic center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Sixteen adults (19 ears) with congenital aural atresia or overclosed ear canals who previously underwent BCD implantation were fitted with a CCD. Audiometric data were collected with use of the BCD and the CCD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean pretreatment 4\u2010frequency pure tone average was 81 dB. The mean aided pure tone averages with the BCD and CCD were 27 and 32 dB (<jats:italic>P<\/jats:italic> = .002), and the mean functional gains were 54 and 49 dB (<jats:italic>P<\/jats:italic> = .002), respectively. The mean consonant\u2010nucleus\u2010consonant scores with the BCD were 90% (best aided) and 80% (aided ear isolated), and those with the CCD were 86% and 76%. Mean AzBio scores were 90% (quiet), 77% (+10 dB SNR [signal to noise ratio]), and 52% (+5 dB SNR) when isolating the BCD ear and 90%, 73%, and 41% when isolating the CCD ear. No difference in speech scores achieved statistical significance except the AzBio isolated to the aided ear in the +5\u2013dB SNR condition, which favored the BCD (<jats:italic>P<\/jats:italic> = .01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Pure tone audiometric outcomes with the BCD show a small advantage over the CCD, with the difference driven mainly by high\u2010frequency responses. Speech outcomes were equivalent apart from the +5\u2013db SNR condition, which favored the BCD.<\/jats:p><\/jats:sec>","DOI":"10.1177\/01945998221123057","type":"journal-article","created":{"date-parts":[[2022,9,6]],"date-time":"2022-09-06T12:01:08Z","timestamp":1662465668000},"page":"821-828","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Hearing Outcomes of a New Cartilage Conduction Device vs Bone Conduction Devices"],"prefix":"10.1002","volume":"168","author":[{"given":"Emily M.","family":"Nairn","sequence":"first","affiliation":[{"name":"Division of Audiology, Department of Otolaryngology\u2013Head and Neck Surgery Michigan Medicine  Ann Arbor Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3340-8876","authenticated-orcid":false,"given":"Alyssa S.","family":"Chen","sequence":"additional","affiliation":[{"name":"University of Michigan Medical School  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