{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T09:53:07Z","timestamp":1782899587968,"version":"3.54.5"},"reference-count":26,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2021,10,13]],"date-time":"2021-10-13T00:00:00Z","timestamp":1634083200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Neurol."],"abstract":"<jats:p>Totally implantable active middle ear implants (AMEI) provide full-time hearing amplification to those with moderate to severe sensorineural hearing loss. While technology in conventional hearing aids (CHA) has advanced greatly, limitations remain for people with active lifestyles, limited vision or dexterity, and hearing aid fit issues. Furthermore, direct-drive properties of AMEI are thought to provide those with inefficient middle ear transfer functions a distinct advantage in delivering prescribed sound to the cochlea, ultimately improving speech understanding with less distortion. AMEI safety, stability, and efficacy outcomes are well documented and fitting strategies continue to improve. Recent studies show how simple aided speech testing can help predict whether a patient struggling with CHA may instead benefit from an AMEI. Totally implantable AMEI continue to be a viable option for patients who cannot or will not utilize traditional hearing aids.<\/jats:p>","DOI":"10.3389\/fneur.2021.747887","type":"journal-article","created":{"date-parts":[[2021,10,13]],"date-time":"2021-10-13T05:25:44Z","timestamp":1634102744000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":7,"title":["New Considerations for a Totally Implantable Active Middle Ear Implant"],"prefix":"10.3389","volume":"12","author":[{"given":"Jack","family":"Shohet","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline","family":"Bibee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2021,10,13]]},"reference":[{"key":"B1","unstructured":"The Impact of Untreated Hearing Loss on Household Income\n            KochkinS\n          2007"},{"key":"B2","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1055\/s-0040-1701243","article-title":"MarkeTrak 10 (MT10) Survey results demonstrate high satisfaction with and benefits from hearing aids","volume":"41","author":"Picou","year":"2020","journal-title":"Semin Hear."},{"key":"B3","unstructured":"EuroTrak Country Market Surveys"},{"key":"B4","doi-asserted-by":"publisher","first-page":"468","DOI":"10.1097\/AUD.0000000000000641","article-title":"Time From Hearing Aid Candidacy to Hearing Aid Adoption: A Longitudinal Cohort Study","volume":"40","author":"Simpson","year":"2019","journal-title":"Ear Hear"},{"key":"B5","doi-asserted-by":"publisher","first-page":"293","DOI":"10.1001\/jamainternmed.2013.1868","article-title":"Hearing loss and cognitive decline in older adults","volume":"173","author":"Lin","year":"2013","journal-title":"JAMA Intern Med."},{"key":"B6","doi-asserted-by":"publisher","first-page":"369","DOI":"10.1001\/archinternmed.2011.728","article-title":"Hearing loss and falls among older adults in the United States","volume":"172","author":"Lin","year":"2012","journal-title":"Arch Intern Med."},{"key":"B7","doi-asserted-by":"publisher","first-page":"2322","DOI":"10.1001\/jama.2013.5912","article-title":"Association of hearing loss with hospitalization and burden of disease in older adults","volume":"309","author":"Genther","year":"2013","journal-title":"JAMA."},{"key":"B8","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1093\/geront\/gnz009","article-title":"Hearing loss and depression in older adults: a systematic review and meta-analysis","volume":"60","author":"Lawrence","year":"2020","journal-title":"The Gerontologist"},{"key":"B9","doi-asserted-by":"publisher","first-page":"663","DOI":"10.1097\/MAO.0000000000002589","article-title":"Speech perception gap is predictive of an active middle ear implant advantage","volume":"41","author":"Shohet","year":"2020","journal-title":"Otology & Neurotology."},{"key":"B10","doi-asserted-by":"publisher","first-page":"210","DOI":"10.1002\/lary.26602","article-title":"Toh E. 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