{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T03:08:31Z","timestamp":1788232111961,"version":"build-2803163510"},"reference-count":36,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Otolaryngology - Head &amp; Neck Surgery"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p> Transcutaneous bone anchored hearing devices (BAHDs) were introduced in an effort to avoid potential complications associated with the abutment of percutaneous BAHDs. Transcutaneous BAHDs can be active or passive. While studies have demonstrated good outcomes with both, a direct comparison of audiological and clinical outcomes of these devices in the pediatric population has not yet been studied. <\/jats:p><\/jats:sec><jats:sec><jats:title>Study design<\/jats:title><jats:p> Retrospective, multicenter study. <\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p> Two tertiary academic centers. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> Between 2015 and 2019, all patients who received an active transcutaneous BAHD (Bonebridge, BB) at one center, and patients that received a passive transcutaneous BAHD (Attract, AT) at another center, were included in this study. Exclusion criteria included age\u2009&gt;\u200918\u00a0years, and mixed hearing loss or single-sided deafness. Study outcomes included patient demographics, indications, complications and preoperative and one-year postoperative audiometric data. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> Eighteen BB and eight\u00a0AT patients met the inclusion criteria. The age range was 5\u201316\u00a0years. There were no significant differences in complication outcomes. Both devices demonstrated similar mean improvements in hearing thresholds at frequencies of 250\u00a0Hz (38\u00a0dB Active vs. 38\u00a0dB Passive), 500\u00a0Hz (34\u00a0dB vs. 42\u00a0dB), 1000\u00a0Hz (34\u00a0dB vs. 40\u00a0dB) and 2000\u00a0Hz (31\u00a0dB vs. 22\u00a0dB). The BB was significantly more effective at frequencies of 4000\u00a0Hz (28\u00a0dB vs. 7\u00a0dB) and 8000\u00a0Hz (29\u00a0dB vs. 6\u00a0dB) ( p\u2009&lt;\u20090.05). <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p> This is the first study comparing audiological outcomes between an active and a passive transcutaneous BAHD in the pediatric population. While both devices improved audiometric outcomes in the low and mid frequencies, the active BAHD demonstrated significantly better outcomes in the higher frequencies. <\/jats:p><\/jats:sec><jats:sec><jats:title>Graphical Abstract<\/jats:title><jats:p> <\/jats:p><\/jats:sec>","DOI":"10.1186\/s40463-022-00595-5","type":"journal-article","created":{"date-parts":[[2022,11,12]],"date-time":"2022-11-12T08:02:34Z","timestamp":1668240154000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Comparison of passive versus active transcutaneous bone anchored hearing devices in the pediatric population"],"prefix":"10.1177","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3367-0559","authenticated-orcid":false,"given":"Nael M.","family":"Shoman","sequence":"first","affiliation":[{"name":"Division of Otolaryngology-Head and Neck Surgery, QEII Health Sciences Centre, Dalhousie University, 3184 Dickson 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